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

Publication ,  Journal Article
Schweitzer, KM; Adams, SB; Easley, ME; DeOrio, JK; Nunley, JA
Published in: JBJS Essent Surg Tech
September 2014

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.

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Published In

JBJS Essent Surg Tech

DOI

ISSN

2160-2204

Publication Date

September 2014

Volume

3

Issue

3

Start / End Page

e18

Location

United States
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Schweitzer, K. M., Adams, S. B., Easley, M. E., DeOrio, J. K., & Nunley, J. A. (2014). Total Ankle Arthroplasty with a Modern Fixed-Bearing System: The Salto Talaris Prosthesis. JBJS Essent Surg Tech, 3(3), e18. https://doi.org/10.2106/JBJS.ST.M.00035
Schweitzer, Karl M., Samuel B. Adams, Mark E. Easley, James K. DeOrio, and James A. Nunley. “Total Ankle Arthroplasty with a Modern Fixed-Bearing System: The Salto Talaris Prosthesis.JBJS Essent Surg Tech 3, no. 3 (September 2014): e18. https://doi.org/10.2106/JBJS.ST.M.00035.
Schweitzer KM, Adams SB, Easley ME, DeOrio JK, Nunley JA. Total Ankle Arthroplasty with a Modern Fixed-Bearing System: The Salto Talaris Prosthesis. JBJS Essent Surg Tech. 2014 Sep;3(3):e18.
Schweitzer, Karl M., et al. “Total Ankle Arthroplasty with a Modern Fixed-Bearing System: The Salto Talaris Prosthesis.JBJS Essent Surg Tech, vol. 3, no. 3, Sept. 2014, p. e18. Pubmed, doi:10.2106/JBJS.ST.M.00035.
Schweitzer KM, Adams SB, Easley ME, DeOrio JK, Nunley JA. Total Ankle Arthroplasty with a Modern Fixed-Bearing System: The Salto Talaris Prosthesis. JBJS Essent Surg Tech. 2014 Sep;3(3):e18.

Published In

JBJS Essent Surg Tech

DOI

ISSN

2160-2204

Publication Date

September 2014

Volume

3

Issue

3

Start / End Page

e18

Location

United States