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Protective Approach for Anatomical Structures at Risk in Total Ankle Replacement.

Publication ,  Journal Article
Tejero, S; Chans-Veres, J; Prada-Chamorro, E; DeOrio, JK
Published in: J Foot Ankle Surg
2021

Currently, total ankle replacement (TAR) is an alternative to arthrodesis in selected patients, with the anterior approach being the most widely used to carry it out. Regardless of the type of implant used, the pins for bone resection guides, chisels, and the saw for distal tibial resection can endanger the neurovascular and tendon structures that lie in intimate proximity to the posterior aspect of the ankle. Additionally, there is a documented complication rate of up to 15.3% in such surgery. We have implemented a protective posteromedial approach that complements the anterior approach to reduce this risk of intraoperative iatrogenic injury. Using this method we introduce a protective instrument that separates the posterior anatomical structures from the posterior cortex of the tibia. This article describes the surgical technique used to carry out TAR through an anterior approach in a safer way, without increasing complications or the duration of real-time surgery.

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Published In

J Foot Ankle Surg

DOI

EISSN

1542-2224

Publication Date

2021

Volume

60

Issue

2

Start / End Page

417 / 420

Location

United States

Related Subject Headings

  • Tibia
  • Tendons
  • Orthopedics
  • Humans
  • Arthroplasty, Replacement, Ankle
  • Ankle Joint
  • Ankle
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences
 

Citation

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Tejero, S., Chans-Veres, J., Prada-Chamorro, E., & DeOrio, J. K. (2021). Protective Approach for Anatomical Structures at Risk in Total Ankle Replacement. J Foot Ankle Surg, 60(2), 417–420. https://doi.org/10.1053/j.jfas.2020.06.002
Tejero, Sergio, Juan Chans-Veres, Estefanía Prada-Chamorro, and James K. DeOrio. “Protective Approach for Anatomical Structures at Risk in Total Ankle Replacement.J Foot Ankle Surg 60, no. 2 (2021): 417–20. https://doi.org/10.1053/j.jfas.2020.06.002.
Tejero S, Chans-Veres J, Prada-Chamorro E, DeOrio JK. Protective Approach for Anatomical Structures at Risk in Total Ankle Replacement. J Foot Ankle Surg. 2021;60(2):417–20.
Tejero, Sergio, et al. “Protective Approach for Anatomical Structures at Risk in Total Ankle Replacement.J Foot Ankle Surg, vol. 60, no. 2, 2021, pp. 417–20. Pubmed, doi:10.1053/j.jfas.2020.06.002.
Tejero S, Chans-Veres J, Prada-Chamorro E, DeOrio JK. Protective Approach for Anatomical Structures at Risk in Total Ankle Replacement. J Foot Ankle Surg. 2021;60(2):417–420.
Journal cover image

Published In

J Foot Ankle Surg

DOI

EISSN

1542-2224

Publication Date

2021

Volume

60

Issue

2

Start / End Page

417 / 420

Location

United States

Related Subject Headings

  • Tibia
  • Tendons
  • Orthopedics
  • Humans
  • Arthroplasty, Replacement, Ankle
  • Ankle Joint
  • Ankle
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science
  • 3202 Clinical sciences