Revision Total Ankle Arthroplasty

Shasta Ortho Foot & Ankle Surgeons: Novel Approach to Revision Total Ankle Arthroplasty

Radiographs at one-year post revision to tibial stemmed implant.

Foot and ankle surgeons at Shasta Ortho Foot & Ankle Institute published an article in Foot & Ankle Surgery: Techniques, Reports & Cases. The article features a technique guide and case study in total ankle arthroplasty revision. The technique uses a tibial stem component and antegrade tibial reaming.

Surgeons Helene R. Cook, DPM, AACFAS, Garret Strand, DPM, AACFAS, Collin Messerly DPM, AACFAS, Matthew Herring, MD, Troy Miles, MD, and Jason Nowak, DPM, FACFAS—all of Shasta Orthopaedics in Redding—contributed to the study.

The study is important to the field of orthopaedic surgery due to a “lack of published research on the techniques for implanting a stemmed tibial system when the talar component is stable and can be left intact.”  The surgeons detailed their surgical technique of the “antegrade tibial reaming for revising a failed tibial component to a stemmed implant while maintaining the original, stable talar component,” so as to contribute to the field’s body of research.

The study featured a 75-year-old male with end stage ankle arthritis who had undergone a previous revision surgery.

At the conclusion of the study the patient was 27 months post-operative from repeat revision TAR and had no associated complications: “He is able to ambulate without the assistance of any devices, able to perform his daily activities, and reports an improvement in patient related outcome measures.”

Shasta Orthopaedic’s surgeons are committed to using innovative practices for the best patient outcomes.