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Cover Art for Total Ankle Arthroplasty: Historical Overview, Current Concepts And Future Perspectives
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Total Ankle Arthroplasty: Historical Overview, Current Concepts And Future Perspectives


Edition: 1st
Author(s): Hintermann, Beat
ISBN10:  3211212523
ISBN13:  9783211212523
Format:  Hardcover
Pub. Date:  12/31/2004
Publisher(s): Springer Verlag

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Table of Contents
Introduction
11(4)
Why Total Ankle Arthroplasty?
11(1)
Poor Success Rate with Early Attempts
12(1)
Where Are We Today?
12(3)
Characteristics of the Diseased Ankle
15(6)
Epidemiology
15(1)
Characteristics of Ankle Arthritis
15(4)
Primary Osteoarthrosis
18(1)
Post-Traumatic Osteoarthrosis
18(1)
Systemic Arthritis
19(1)
Conclusions
19(2)
Ankle Arthrodesis
21(14)
Historical Background
21(1)
Biomechanical Considerations
22(1)
Isolated Ankle Arthrodesis
23(1)
Extensive Hindfoot Fusions
23(1)
Techniques and Results
23(8)
Ankle Arthrodesis without Internal Fixation
24(1)
Ankle Arthrodesis with Internal Fixation
24(3)
Functional Outcome after Ankle Arthrodesis
27(1)
Degenerative Changes after Ankle Arthrodesis
27(2)
Ankle Arthrodesis versus Total Ankle Arthroplasty
29(2)
Conclusions
31(4)
Anatomic and Biomechanical Characteristics of the Ankle Joint and Total Ankle Arthroplasty
35(18)
Anatomic Considerations
35(4)
Bony Configuration
35(2)
Ligamentous Configuration
37(2)
Ankle Joint Motion
39(2)
Axis of Rotation
39(1)
Range of Ankle Motion
40(1)
Restraints of Ankle Motion
40(1)
Bone Support at the Ankle
41(3)
Contact Area and Forces at the Ankle
44(1)
Contact Area
44(1)
Axial Load and Stress Forces of the Ankle
44(1)
Fixation of Total Ankle Prostheses
45(2)
Limitations of Polyethylene
47(1)
Component Design
47(2)
Conclusions
49(4)
History of Total Ankle Arthroplasty
53(16)
Classification of Total Ankle Arthroplasties
53(2)
First-Generation Total Ankle Arthroplasty -- Cemented Type
55(4)
Pioneers in Total Ankle Arthroplasty
55(2)
Short-Term Results
57(1)
Mid-to Long-Term Results
57(1)
Specific Problems with Early Use of Total Ankle Implants
58(1)
Second-Generation Total Ankle Arthroplasty--Uncemented Type
59(4)
Basic Biomechanical Considerations in New Prosthetic Designs
59(1)
Two-Component Designs
60(1)
Three-Component Designs
61(1)
First Results
61(1)
Critical Issues in Second-Generation Total Ankle Replacement
62(1)
Conclusions
63(6)
Current Designs of Total Ankle Prostheses
69(32)
AES® Ankle
69(2)
Background and Design
69(1)
Results
70(1)
Concerns
70(1)
AGILITY™ Ankle
71(3)
Background and Design
71(1)
Results
72(1)
Concerns
73(1)
Buechel-Pappas™ Ankle
74(4)
Background and Design
74(1)
Results
75(1)
Concerns
76(2)
ESKA Ankle
78(2)
Background and Design
78(1)
Results
78(2)
Concerns
80(1)
Hintegra® Ankle
80(5)
Background and Design
80(1)
Results
81(1)
Concerns
81(4)
Ramses Ankle
85(3)
Background and Design
85(2)
Results
87(1)
Concerns
87(1)
Salto® Ankle
88(2)
Background and Design
88(1)
Results
88(1)
Concerns
88(2)
S.T.A.R. Ankle
90(4)
Background and Design
90(1)
Results
91(1)
Concerns
92(2)
TNK Ankle
94(3)
Background and Design
94(1)
Results
94(3)
Concerns
97(1)
Conclusions
97(4)
Preoperative Considerations for Total Ankle Arthroplasty
101(14)
Indications
101(1)
Contraindications
102(1)
Considerations Specific to Total Ankle Replacement Surgery
103(10)
Rheumatoid Arthritis and Inflammatory Arthropathy
103(1)
Infection
103(2)
Osteopenia and Osteoporosis
105(1)
Weight Restrictions
105(2)
Adjacent Joint Arthritis
107(1)
Lower Limb, Ankle, or Hindfoot Malalignment
108(1)
Hindfoot-Ankle Instability
108(3)
Heel Cord Contracture
111(1)
Soft-Tissue Considerations
111(1)
Age Considerations
111(1)
Activity Limitations
112(1)
Smoking
113(1)
Conclusions
113(2)
Surgical Techniques
115(22)
Preoperative Planning
115(1)
Surgical Approach to the Ankle
115(3)
Anterior Approach to the Ankle
115(3)
Lateral Approach to the Ankle
118(1)
Complications
118(1)
Surgical Preparation of the Ankle
118(5)
Insertion of the Implants
123(3)
Wound Closure
126(1)
Additional Surgeries
127(4)
Lateral Ligament Reconstruction
127(2)
Peroneal Tendon Transfer
129(1)
Dorsiflexion Osteotomy of the First Metatarsal
129(1)
Valgisation Osteotomy of the Calcaneus
130(1)
Medial Ligament Reconstruction
130(1)
Medial Sliding Osteotomy of the Calcaneus
130(1)
Hindfoot Fusion
130(1)
Heel Cord Lengthening
131(1)
Conclusions
131(6)
Postoperative Care and Follow-up
137(8)
Postoperative Care
137(1)
Rehabilitation Program
138(1)
Follow-up Examination
138(5)
Clinical Assessment
138(1)
Radiographic Measurements
139(4)
Conclusions
143(2)
What is Feasible in Total Ankle Arthroplasty?
145(28)
Reconstruction of the Malaligned Ankle
145(6)
Varus Malalignment
145(1)
Valgus Malalignment
146(5)
Sagittal Plane Malalignment
151(1)
Reconstruction of the Post-Traumatic Hindfoot and Ankle
151(9)
Fibular Malunion
152(1)
Tibiofibular Instability (Syndesmotic Incompetence)
153(1)
Calcaneal Malunion
154(6)
Specific Articular Pathologies and Disorders
160(8)
Systemic Inflammatory Arthritis
160(2)
Clubfoot Deformity
162(1)
Post-Polio Foot Deformity
162(1)
Avascular Necrosis
162(3)
Septic Arthritis
165(3)
Disarthrodesis
168(1)
Revision Arthroplasty (for Failed Primary Arthroplasty)
169(3)
Conclusions
172(1)
Complications of Total Ankle Arthroplasty
173(22)
Characteristics of Ankle Osteoarthritis
173(2)
Primary Osteoarthrosis of the Ankle
173(1)
Post-Traumatic Osteoarthrosis of the Ankle
173(1)
Rheumatoid Arthritis of the Ankle
173(2)
Patient Selection
175(1)
Age of the Patient
175(1)
Weight of the Patient
175(1)
Preoperative Conditions and Planning
175(3)
Soft-Tissue Conditions
175(1)
Malalignment and Malunion
175(2)
Preoperative Foot Deformity
177(1)
Implant- and Implantation-Related Complications
178(7)
Problems with First-Generation Total Ankle Prostheses
178(1)
Problems with Second-Generation Total Ankle Prostheses
178(7)
Early Postoperative Complications
185(1)
Wound Healing Problems
185(1)
Swelling
186(1)
Infection
186(1)
Deep Venous Thrombosis
186(1)
Syndesmotic Nonunion/Instability
186(1)
Fractures of Malleoli
186(1)
Late Postoperative Complications
186(5)
Loss of Motion
186(2)
Aseptic Loosening
188(2)
Subsidence
190(1)
Polyethylene Wear
191(1)
Salvage of Failed Total Ankle Arthroplasty
191(1)
Conclusions
191(4)
Requirements for Successful Total Ankle Arthroplasty
193(1)
Surgeon Experience, Skill, and Training
193(2)
Future Directions
195(4)
Current Concerns to be Addressed
195(1)
Prospective Studies
195(1)
Prosthetic Design
195(1)
Preoperative Planning and Implantation Technique
195(1)
Polyethylene Wear
196(1)
Stability of Bone-Implant Interface
196(1)
Further Success will Increase Patient Demand
196(1)
Further Research
196(1)
Conclusions
197(2)
Subject Index 199

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