Abstract
Soft-tissue ankle equinus and anterior–posterior translation of the talus are commonly encountered malalignment situations seen with end-stage ankle arthritis. These malalignments are important to recognize and correct at the time of primary total ankle replacement. The decision to perform a tendo-Achilles lengthening or a gastrocnemius-soleus lengthening is based mostly on surgeon preference and comfort level than evidence-based medicine. The management of anterior and posterior translation of the talus revolves primarily around tibial cut location/orientation, medial deltoid and posterior capsule soft-tissue release, medial and lateral gutter debridement, and lateral ligament reconstruction. Outcomes can be expected to be as good as of those ankles without talar translation in the sagittal plane, if the talus is reduced in all planes underneath the tibia.
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Gougoulias, N., Badekas, T., Maffulli, N. (2016). Managing Soft-Tissue Ankle Equinus and Anterior/Posterior Translation of the Talus During Total Ankle Replacement. In: Roukis, T., et al. Primary and Revision Total Ankle Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-24415-0_15
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DOI: https://doi.org/10.1007/978-3-319-24415-0_15
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