|
|
|
11 | (4) |
|
Why Total Ankle Arthroplasty? |
|
|
11 | (1) |
|
Poor Success Rate with Early Attempts |
|
|
12 | (1) |
|
|
|
12 | (3) |
|
Characteristics of the Diseased Ankle |
|
|
15 | (6) |
|
|
|
15 | (1) |
|
Characteristics of Ankle Arthritis |
|
|
15 | (4) |
|
|
|
18 | (1) |
|
Post-Traumatic Osteoarthrosis |
|
|
18 | (1) |
|
|
|
19 | (1) |
|
|
|
19 | (2) |
|
|
|
21 | (14) |
|
|
|
21 | (1) |
|
Biomechanical Considerations |
|
|
22 | (1) |
|
Isolated Ankle Arthrodesis |
|
|
23 | (1) |
|
Extensive Hindfoot Fusions |
|
|
23 | (1) |
|
|
|
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) |
|
|
|
31 | (4) |
|
Anatomic and Biomechanical Characteristics of the Ankle Joint and Total Ankle Arthroplasty |
|
|
35 | (18) |
|
|
|
35 | (4) |
|
|
|
35 | (2) |
|
Ligamentous Configuration |
|
|
37 | (2) |
|
|
|
39 | (2) |
|
|
|
39 | (1) |
|
|
|
40 | (1) |
|
Restraints of Ankle Motion |
|
|
40 | (1) |
|
Bone Support at the Ankle |
|
|
41 | (3) |
|
Contact Area and Forces at the Ankle |
|
|
44 | (1) |
|
|
|
44 | (1) |
|
Axial Load and Stress Forces of the Ankle |
|
|
44 | (1) |
|
Fixation of Total Ankle Prostheses |
|
|
45 | (2) |
|
Limitations of Polyethylene |
|
|
47 | (1) |
|
|
|
47 | (2) |
|
|
|
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) |
|
|
|
57 | (1) |
|
|
|
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) |
|
|
|
60 | (1) |
|
|
|
61 | (1) |
|
|
|
61 | (1) |
|
Critical Issues in Second-Generation Total Ankle Replacement |
|
|
62 | (1) |
|
|
|
63 | (6) |
|
Current Designs of Total Ankle Prostheses |
|
|
69 | (32) |
|
|
|
69 | (2) |
|
|
|
69 | (1) |
|
|
|
70 | (1) |
|
|
|
70 | (1) |
|
|
|
71 | (3) |
|
|
|
71 | (1) |
|
|
|
72 | (1) |
|
|
|
73 | (1) |
|
|
|
74 | (4) |
|
|
|
74 | (1) |
|
|
|
75 | (1) |
|
|
|
76 | (2) |
|
|
|
78 | (2) |
|
|
|
78 | (1) |
|
|
|
78 | (2) |
|
|
|
80 | (1) |
|
|
|
80 | (5) |
|
|
|
80 | (1) |
|
|
|
81 | (1) |
|
|
|
81 | (4) |
|
|
|
85 | (3) |
|
|
|
85 | (2) |
|
|
|
87 | (1) |
|
|
|
87 | (1) |
|
|
|
88 | (2) |
|
|
|
88 | (1) |
|
|
|
88 | (1) |
|
|
|
88 | (2) |
|
|
|
90 | (4) |
|
|
|
90 | (1) |
|
|
|
91 | (1) |
|
|
|
92 | (2) |
|
|
|
94 | (3) |
|
|
|
94 | (1) |
|
|
|
94 | (3) |
|
|
|
97 | (1) |
|
|
|
97 | (4) |
|
Preoperative Considerations for Total Ankle Arthroplasty |
|
|
101 | (14) |
|
|
|
101 | (1) |
|
|
|
102 | (1) |
|
Considerations Specific to Total Ankle Replacement Surgery |
|
|
103 | (10) |
|
Rheumatoid Arthritis and Inflammatory Arthropathy |
|
|
103 | (1) |
|
|
|
103 | (2) |
|
Osteopenia and Osteoporosis |
|
|
105 | (1) |
|
|
|
105 | (2) |
|
|
|
107 | (1) |
|
Lower Limb, Ankle, or Hindfoot Malalignment |
|
|
108 | (1) |
|
Hindfoot-Ankle Instability |
|
|
108 | (3) |
|
|
|
111 | (1) |
|
Soft-Tissue Considerations |
|
|
111 | (1) |
|
|
|
111 | (1) |
|
|
|
112 | (1) |
|
|
|
113 | (1) |
|
|
|
113 | (2) |
|
|
|
115 | (22) |
|
|
|
115 | (1) |
|
Surgical Approach to the Ankle |
|
|
115 | (3) |
|
Anterior Approach to the Ankle |
|
|
115 | (3) |
|
Lateral Approach to the Ankle |
|
|
118 | (1) |
|
|
|
118 | (1) |
|
Surgical Preparation of the Ankle |
|
|
118 | (5) |
|
Insertion of the Implants |
|
|
123 | (3) |
|
|
|
126 | (1) |
|
|
|
127 | (4) |
|
Lateral Ligament Reconstruction |
|
|
127 | (2) |
|
|
|
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) |
|
|
|
130 | (1) |
|
|
|
131 | (1) |
|
|
|
131 | (6) |
|
Postoperative Care and Follow-up |
|
|
137 | (8) |
|
|
|
137 | (1) |
|
|
|
138 | (1) |
|
|
|
138 | (5) |
|
|
|
138 | (1) |
|
Radiographic Measurements |
|
|
139 | (4) |
|
|
|
143 | (2) |
|
What is Feasible in Total Ankle Arthroplasty? |
|
|
145 | (28) |
|
Reconstruction of the Malaligned Ankle |
|
|
145 | (6) |
|
|
|
145 | (1) |
|
|
|
146 | (5) |
|
Sagittal Plane Malalignment |
|
|
151 | (1) |
|
Reconstruction of the Post-Traumatic Hindfoot and Ankle |
|
|
151 | (9) |
|
|
|
152 | (1) |
|
Tibiofibular Instability (Syndesmotic Incompetence) |
|
|
153 | (1) |
|
|
|
154 | (6) |
|
Specific Articular Pathologies and Disorders |
|
|
160 | (8) |
|
Systemic Inflammatory Arthritis |
|
|
160 | (2) |
|
|
|
162 | (1) |
|
Post-Polio Foot Deformity |
|
|
162 | (1) |
|
|
|
162 | (3) |
|
|
|
165 | (3) |
|
|
|
168 | (1) |
|
Revision Arthroplasty (for Failed Primary Arthroplasty) |
|
|
169 | (3) |
|
|
|
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) |
|
|
|
175 | (1) |
|
|
|
175 | (1) |
|
|
|
175 | (1) |
|
Preoperative Conditions and Planning |
|
|
175 | (3) |
|
|
|
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) |
|
|
|
185 | (1) |
|
|
|
186 | (1) |
|
|
|
186 | (1) |
|
|
|
186 | (1) |
|
Syndesmotic Nonunion/Instability |
|
|
186 | (1) |
|
|
|
186 | (1) |
|
Late Postoperative Complications |
|
|
186 | (5) |
|
|
|
186 | (2) |
|
|
|
188 | (2) |
|
|
|
190 | (1) |
|
|
|
191 | (1) |
|
Salvage of Failed Total Ankle Arthroplasty |
|
|
191 | (1) |
|
|
|
191 | (4) |
|
Requirements for Successful Total Ankle Arthroplasty |
|
|
193 | (1) |
|
Surgeon Experience, Skill, and Training |
|
|
193 | (2) |
|
|
|
195 | (4) |
|
Current Concerns to be Addressed |
|
|
195 | (1) |
|
|
|
195 | (1) |
|
|
|
195 | (1) |
|
Preoperative Planning and Implantation Technique |
|
|
195 | (1) |
|
|
|
196 | (1) |
|
Stability of Bone-Implant Interface |
|
|
196 | (1) |
|
Further Success will Increase Patient Demand |
|
|
196 | (1) |
|
|
|
196 | (1) |
|
|
|
197 | (2) |
| Subject Index |
|
199 | |