Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
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Irreducible Spacer Subluxation after Total Ankle Replacement Arthroplasty in a Patient with Rheumatoid Arthritis: A Case Report

류마티스 환자의 발목 인공관절 치환술 이후 발생한 정복되지 않는 충전물의 아탈구: 증례 보고

  • Seo, Dong-Kyo (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Kim, Sang Young (Department of Orthopedic Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 서동교 (울산대학교 의과대학 강릉아산병원 정형외과학교실) ;
  • 김상영 (울산대학교 의과대학 강릉아산병원 정형외과학교실)
  • Received : 2021.07.23
  • Accepted : 2021.10.07
  • Published : 2021.12.15
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Abstract

End-stage ankle arthritis is a debilitating condition that causes functional limitations and consequently a poor quality of life. Total ankle replacement arthroplasty is a good alternative to arthrodesis for preserving the ankle's range of motion. However, many complications can occur in patients with rheumatoid arthritis and with poor soft tissue and bone conditions. A 61-year-old female experienced spacer subluxation after surgery, which was not reduced by medial soft tissue release and spacer change. Buttress plating was found to be a good treatment option to prevent spacer subluxation and can be considered in patients with rheumatoid arthritis with bone erosion and soft tissue damage.

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References

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