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Semin Musculoskelet Radiol 2015; 19(01): 067-076
DOI: 10.1055/s-0034-1396769
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Imaging of Ankle Replacements

Gary M. LiMarzi
1   Department of Radiology, Florida Hospital, Orlando, Florida
,
Dzmitry M. Fursevich
1   Department of Radiology, Florida Hospital, Orlando, Florida
,
J. Dean Cole
2   Florida Hospital Orthopedic Institute, Orlando, Florida
,
Christopher W. Wasyliw
1   Department of Radiology, Florida Hospital, Orlando, Florida
,
Laura W. Bancroft
1   Department of Radiology, Florida Hospital, Orlando, Florida
3   University of Central Florida College of Medicine, Orlando, Florida
› Author Affiliations
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Publication History

Publication Date:
29 January 2015 (online)

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Abstract

Significant innovations in the field of total ankle replacement surgery have occurred since the early disappointing experiences with first-generation devices. In recent years, total ankle arthroplasties are commonly placed in patients with end-stage ankle osteoarthrosis, supplanting ankle arthrodesis as the procedure of choice at some institutions. Careful clinical and preoperative radiographic evaluation is helpful to plan concomitant ligament release, ligament reconstruction, or osteotomy. Careful attention to radiographic signs of early hardware loosening or subsidence can prompt intervention while bone loss is still minimal, and computed tomography has an adjunct role in the evaluation of periprosthetic lucency and osteolysis.

Keywords

ankle arthroplasty - ankle replacement - INBONE - loosening - osteolysis - osteotomy
 

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