Revision total ankle arthroplasty with tibial stem component using antegrade tibial reaming: Technique guide and case study

Abstract

Complications after total ankle arthroplasty can be difficult to treat with limited viable options. Often, companies have described product revision techniques using larger components and tibial intramedullary stems to increase contact surface area while increasing stability. Revision techniques for tibial stemmed components normally call for retrograde reaming via access into the intramedullary canal of the tibia through both the talus and the calcaneus. However, this creates a challenge for the foot and ankle surgeon when the talar component is stable and does not require revision. In this study, we present a novel technique using antegrade reaming for revising a failed tibial component to a stemmed implant while maintaining the original, stable talar component. We also highlight our case study in a patient who has had this technique performed.

Keywords

• Anterograde
• Revision total ankle arthroplasty
• Revision total ankle replacement
• Stemmed implant
• Talar component
• Tibial component