Imaging of Ankle Replacements

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

• References

• 1 Datir A, Xing M, Kakarala A, Terk MR, Labib SA. Radiographic evaluation of INBONE total ankle arthroplasty: a retrospective analysis of 30 cases. Skeletal Radiol 2013; 42 (12) 1693-1701
• 2 Lee AY, Ha AS, Petscavage JM, Chew FS. Total ankle arthroplasty: a radiographic outcome study. AJR Am J Roentgenol 2013; 200 (6) 1310-1316
• 3 Noelle S, Egidy CC, Cross MB, Gebauer M, Klauser W. Complication rates after total ankle arthroplasty in one hundred consecutive prostheses. Int Orthop 2013; 37 (9) 1789-1794
• 4 DiDomenico LA, Anania MC. Total ankle replacements: an overview. Clin Podiatr Med Surg 2011; 28 (4) 727-744
• 5 Hanna RS, Haddad SL, Lazarus ML. Evaluation of periprosthetic lucency after total ankle arthroplasty: helical CT versus conventional radiography. Foot Ankle Int 2007; 28 (8) 921-926
• 6 Raikin SM, Rasouli MR, Espandar R, Maltenfort MG. Trends in treatment of advanced ankle arthropathy by total ankle replacement or ankle fusion. Foot Ankle Int 2014; 35 (3) 216-224
• 7 Saltzman CL, McIff TE, Buckwalter JA, Brown TD. Total ankle replacement revisited. J Orthop Sports Phys Ther 2000; 30 (2) 56-67
• 8 Bestic JM, Bancroft LW, Peterson JJ, Kransdorf MJ. Postoperative imaging of the total ankle arthroplasty. Radiol Clin North Am 2008; 46 (6) 1003-1015 , v–vi
• 9 Labib SA, Raikin SM, Lau JT , et al. Joint preservation procedures for ankle arthritis. Foot Ankle Int 2013; 34 (7) 1040-1047
• 10 Cadden AR. Imaging in total ankle replacement. Semin Musculoskelet Radiol 2012; 16 (3) 205-216
• 11 Criswell BJ, Douglas K, Naik R, Thomson AB. High revision and reoperation rates using the Agility™ Total Ankle System. Clin Orthop Relat Res 2012; 470 (7) 1980-1986
• 12 Greenfield S, Ellis S. The bright future for total ankle replacements. Curr Rev Musculoskelet Med 2013; 6 (4) 273-275
• 13 Abicht BP, Roukis TS. The INBONE II Total Ankle System. Clin Podiatr Med Surg 2013; 30 (1) 47-68
• 14 Trajkovski T, Pinsker E, Cadden A, Daniels T. Outcomes of ankle arthroplasty with preoperative coronal-plane varus deformity of 10° or greater. J Bone Joint Surg Am 2013; 95 (15) 1382-1388
• 15 Steck JK, Anderson JB. Total ankle arthroplasty: indications and avoiding complications. Clin Podiatr Med Surg 2009; 26 (2) 303-324
• 16 Mann JA, Mann RA, Horton E. STAR™ ankle: long-term results. Foot Ankle Int 2011; 32 (5) S473-S484
• 17 Ellington JK, Gupta S, Myerson MS. Management of failures of total ankle replacement with the agility total ankle arthroplasty. J Bone Joint Surg Am 2013; 95 (23) 2112-2118
• 18 Preyssas P, Toullec É, Henry M, Neron JB, Mabit C, Brilhault J. Total ankle arthroplasty—three-component total ankle arthroplasty in western France: a radiographic study. Orthop Traumatol Surg Res 2012; 98 (4, Suppl): S31-S40
• 19 Kohonen Ia, Koivu H, Vahlberg T, Larjava H, Mattila K. Total ankle arthroplasty: optimizing computed tomography imaging protocol. Skeletal Radiol 2013; 42 (11) 1507-1513
• 20 Kohonen Ia, Koivu H, Pudas T, Tiusanen H, Vahlberg T, Mattila K. Does computed tomography add information on radiographic analysis in detecting periprosthetic osteolysis after total ankle arthroplasty?. Foot Ankle Int 2013; 34 (2) 180-188
• 21 Wood PL, Deakin S. Total ankle replacement. The results in 200 ankles. J Bone Joint Surg Br 2003; 85: 334-341
• 22 Daniels TR, Younger ASE, Penner M , et al. Intermediate-term results of total ankle replacement and ankle arthrodesis: a COFAS multicenter study. J Bone Joint Surg Am 2014; 96 (2) 135-142
• 23 Glazebrook MA, Arsenault K, Dunbar M. Evidence-based classification of complications in total ankle arthroplasty. Foot Ankle Int 2009; 30 (10) 945-949
• 24 Gadd RJ, Barwick TW, Paling E, Davies MB, Blundell CM. Assessment of a three-grade classification of complications in total ankle replacement. Foot Ankle Int 2014; 35 (5) 434-437
• 25 Pyevich MT, Saltzman CL, Callaghan JJ, Alvine FG. Total ankle arthroplasty: a unique design. Two to twelve-year follow-up. J Bone Joint Surg Am 1998; 80 (10) 1410-1420
• 26 Schuberth JM, Babu NS, Richey JM, Christensen JC. Gutter impingement after total ankle arthroplasty. Foot Ankle Int 2013; 34 (3) 329-337