Journal
FOOT AND ANKLE CLINICS
Volume 22, Issue 2, Pages 311-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.fcl.2017.01.003
Keywords
Deformity; Total ankle arthroplasty; Osteotomy; Alignment procedures; Soft tissue balancing; Fusion; Tendon transfer
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One of the main challenges in ankle replacement is correction of any deformities in the operative limb. Deformity can be found proximal and distal to the ankle joint as well as in the ankle joint. There are static and dynamic deformities that can create unbalanced ankle joints causing early and often catastrophic failure. Surgeons must recognize the deformities that are present and use sound judgment to balance the ankle joint with procedures before, during, or after total ankle implantation. This article helps clinicians to identify deformity and provides a basic template to consider how to address each challenge.
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