Failed Agility LP Total Ankle Replacement with Severe >40 Varus Deformity Revision with Prosthesis Conversion and Soft-Tissue Procedures AloneThomas S. Roukis*
Orthopaedic Center, Gundersen Health System, South Avenue, La Crosse, Wisconsin
- *Corresponding Author:
- Thomas S. Roukis
Orthopaedic Center, Gundersen Health System
Mail Stop: C02-006, 1900 South Avenue
La Crosse, Wisconsin 54601-5467
E-mail: [email protected]
Received Date: April 02, 2016; Accepted Date: June 22, 2016 ; Published Date: June 30, 2016
Citation: Roukis TS (2016) Failed Agility™ LP Total Ankle Replacement with Severe >40° Varus Deformity Revision with Prosthesis Conversion and Soft-Tissue Procedures Alone. Clin Res Foot Ankle 4:190. doi:10.4172/2329-910X.1000190
Copyright: © 2016 Thomas S. Roukis. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Achieving frontal plane alignment of the ankle joint during primary and revision total ankle replacement is essential for long-term success. This manuscript presents the revision of a failed Agility™ LP total ankle replacement system with severe > 40° varus ankle deformity that was corrected with explanation and conversion to an INBONE™ II total ankle system coupled with soft-tissue release/reconstruction employing percutaneous Achilles tendon lengthening, posterior tibial tendon intramuscular recession lengthening and modified Evans peroneus longus lateral ankle stabilization. Additionally, prophylactic tarsal tunnel release was performed to reduce potential for postoperative nerve compression. At short-term 2.5-years follow-up the patient had a well-balanced and painless foot/ ankle and return of a functional lower limb.