Browse > Article
http://dx.doi.org/10.14193/jkfas.2021.25.4.181

Irreducible Spacer Subluxation after Total Ankle Replacement Arthroplasty in a Patient with Rheumatoid Arthritis: A Case Report  

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)
Publication Information
Journal of Korean Foot and Ankle Society / v.25, no.4, 2021 , pp. 181-184 More about this Journal
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.
Keywords
Rheumatoid arthritis; Total ankle replacement arthroplasty; Spacer subluxation; Buttress plate;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Stavrakis AI, SooHoo NF. Trends in complication rates following ankle arthrodesis and total ankle replacement. J Bone Joint Surg Am. 2016;98:1453-8. doi: 10.2106/JBJS.15.01341.   DOI
2 Daniels TR, Younger AS, Penner M, Wing K, Dryden PJ, Wong H, et al. Intermediate-term results of total ankle replacement and ankle arthrodesis: a COFAS multicenter study. J Bone Joint Surg Am. 2014;96:135-42. doi: 10.2106/JBJS.L.01597.   DOI
3 Gougoulias N, Khanna A, Maffulli N. How successful are current ankle replacements?: a systematic review of the literature. Clin Orthop Relat Res. 2010;468:199-208. doi: 10.1007/s11999-009-0987-3.   DOI
4 Brunner S, Barg A, Knupp M, Zwicky L, Kapron AL, Valderrabano V, et al. The Scandinavian total ankle replacement: long-term, eleven to fifteen-year, survivorship analysis of the prosthesis in seventy-two consecutive patients. J Bone Joint Surg Am. 2013;95:711-8. doi: 10.2106/JBJS.K.01580.   DOI
5 Mulcahy H, Chew FS. Current concepts in total ankle replacement for radiologists: complications. AJR Am J Roentgenol. 2015;205:1244-50. doi: 10.2214/AJR.14.14171.   DOI
6 Scott AT, Nunley JA. Polyethylene fracture following STAR ankle arthroplasty: a report of three cases. Foot Ankle Int. 2009;30:375-9. doi: 10.3113/FAI.2009.0375.   DOI
7 Wood PL, Deakin S. Total ankle replacement. The results in 200 ankles. J Bone Joint Surg Br. 2003;85:334-41. doi: 10.1302/0301-620x.85b3.13849.   DOI
8 Doets HC, van der Plaat LW, Klein JP. Medial malleolar osteotomy for the correction of varus deformity during total ankle arthroplasty: results in 15 ankles. Foot Ankle Int. 2008;29:171-7. doi: 10.3113/FAI.2008.0171.   DOI
9 Beumer A, Valstar ER, Garling EH, Niesing R, Ginai AZ, Ranstam J, et al. Effects of ligament sectioning on the kinematics of the distal tibiofibular syndesmosis: a radiostereometric study of 10 cadaveric specimens based on presumed trauma mechanisms with suggestions for treatment. Acta Orthop. 2006;77:531-40. doi: 10.1080/17453670610012557.   DOI
10 Buechel FF Sr, Buechel FF Jr, Pappas MJ. Ten-year evaluation of cementless Buechel-Pappas meniscal bearing total ankle replacement. Foot Ankle Int. 2003;24:462-72. doi: 10.1177/107110070302400603.   DOI
11 Mujukian A, Ho NC, Day MJ, Ebramzadeh E, Sangiorgio SN. A systematic review of unsystematic total ankle replacement wear evaluations. JBJS Rev. 2020;8:e0091. doi: 10.2106/JBJS.RVW.19.00091.   DOI
12 Wood PL, Crawford LA, Suneja R, Kenyon A. Total ankle replacement for rheumatoid ankle arthritis. Foot Ankle Clin. 2007;12:497-508, vii. doi: 10.1016/j.fcl.2007.05.002.   DOI
13 Doets HC, Brand R, Nelissen RG. Total ankle arthroplasty in inflammatory joint disease with use of two mobile-bearing designs. J Bone Joint Surg Am. 2006;88:1272-84. doi: 10.2106/JBJS.E.00414.   DOI
14 Su EP, Kahn B, Figgie MP. Total ankle replacement in patients with rheumatoid arthritis. Clin Orthop Relat Res. 2004;(424):32-8. doi: 10.1097/01.blo.0000132181.46593.82.   DOI
15 Ng SY, Crevoisier X, Assal M. Total ankle replacement for rheumatoid arthritis of the ankle. Foot Ankle Clin. 2012;17:555-64. doi: 10.1016/j.fcl.2012.08.004.   DOI
16 Cracchiolo A 3rd, Cimino WR, Lian G. Arthrodesis of the ankle in patients who have rheumatoid arthritis. J Bone Joint Surg Am. 1992;74:903-9.   DOI
17 Lefrancois T, Younger A, Wing K, Penner MJ, Dryden P, Wong H, et al. A prospective study of four total ankle arthroplasty implants by non-designer investigators. J Bone Joint Surg Am. 2017;99:342-8. doi: 10.2106/JBJS.16.00097.   DOI
18 Glazebrook M, Daniels T, Younger A, Foote CJ, Penner M, Wing K, et al. Comparison of health-related quality of life between patients with end-stage ankle and hip arthrosis. J Bone Joint Surg Am. 2008;90:499-505. doi: 10.2106/JBJS.F.01299.   DOI