Total Ankle Arthroplasty with a Modern Fixed-Bearing System: The Salto Talaris Prosthesis.

Published online

Journal Article

Introduction: The Salto Talaris total ankle replacement is a fixed-bearing system that integrates a mobile tibial trial component that allows self-alignment on the distal tibial resected surface, as guided by the talar component. Step 1 Preoperative Planning: A thorough preoperative assessment is crucial. Step 2 Anterior Approach: Meticulous soft-tissue handling is essential. Step 3 Tibial Preparation: Use intraoperative fluoroscopy and direct inspection to determine the appropriate alignment, tibial component size, and resection level as guided by the external tibial alignment and cutting guides. Step 4 Talar Preparation: Use the largest talar component that does not impinge on either malleolus. Step 5 Implant Trialing: Careful assessment of ankle range of motion and stability in conjunction with selection of an appropriately sized polyethylene insert and consideration of additional soft-tissue balancing procedures are key to implantation of a well-balanced stable ankle replacement. Step 6 Final Implant Placement and Closure: Completion of a meticulous, layered soft-tissue closure over a drain and placement of a well-padded short leg cast are key to soft-tissue stability and wound-healing. Step 7 Postoperative Care: Wound and soft-tissue healing drive the initial postoperative management. Results: Published, prospective studies of the clinical outcomes of modern fixed-bearing total ankle systems are limited in the United States, mainly because FDA approval of these systems is more recent than that of other mobile-bearing options. What to Watch For: IndicationsContraindicationsPitfalls & Challenges.

Full Text

Duke Authors

Cited Authors

  • Schweitzer, KM; Adams, SB; Easley, ME; DeOrio, JK; Nunley, JA

Published Date

  • September 2014

Published In

Volume / Issue

  • 3 / 3

Start / End Page

  • e18 -

PubMed ID

  • 30881749

Pubmed Central ID

  • 30881749

International Standard Serial Number (ISSN)

  • 2160-2204

Digital Object Identifier (DOI)

  • 10.2106/JBJS.ST.M.00035

Language

  • eng

Conference Location

  • United States