Table 3.
TYPE OF PROCEDURE | PATIENT NUMBER | INDICATION | DETAILS OF SURGERY | COMPLICATIONS |
---|---|---|---|---|
PRIMARY FUSION | 1 | Severe cavovarus deformity | Talectomy and tibiocalcaneal fusion with nail | None |
2 | Rheumatoid arthritis - Fixed planovalgus deformity and arthritis in the naviculocuneiform and triple joints | Triple fusion and extended medial column fusion | Blisters Wound dehiscence Medial column non-union Ongoing pain |
|
3 | Fixed planovalgus deformity | Corrective triple fusion for planovalgus foot correction | Transient numbness below tourniquet level | |
4 | Congenital equinovalgus | Corrective triple fusion and tibialis posterior to tibialis anterior transfer | None | |
PRIMARY TOTAL ANKLE REPLACEMENT | 5 | Ankle osteoarthritis | Total ankle replacement | None |
6 | Ankle osteoarthritis | Total ankle replacement | None | |
7 | Ankle osteoarthritis with medial malleolar cyst | Total ankle replacement with prophylactic fixation of medial malleolus | Long inpatient stay due to pain control issues Ongoing pain related to medial malleolus screw |
|
8 | Ankle osteoarthritis | Total ankle replacement and lateral ligament reconstruction (Brostrom) | None | |
9 | Ankle osteoarthritis | Total ankle replacement | Superficial infection controlled with oral antibiotics | |
10 | Ankle osteoarthritis with fracture fixation metalwork in-situ | Removal of metalwork and total ankle replacement | None | |
11 | Ankle osteoarthritis | Total ankle replacement | None | |
12 | Ankle osteoarthritis | Total ankle replacement and lateral ligament reconstruction (Brostrom) and BRT osteotomy | None | |
REVISION FUSION | 13 | Painful ankle replacement, previous subtalar fusion | Removal of ankle replacement and ankle fusion with fresh frozen femoral head allograft | Transient loss of sensations |
14 | Non-union of subtalar and talonavicular fusion. Previous ankle fusion | Revision triple fusion | Long inpatient stay due to pain control issues Ongoing pain in the foot |
|
15 | Failed total ankle replacement – aseptic loosening | Removal of total ankle replacement and tibiocalcaneal arthrodesis with fresh frozen femoral head allograft | Infected Non-union of the Tibiocalcaneal fusion Ongoing pain |
|
REVISION TOTAL ANKLE REPLACEMENT | 16 | Previous ankle fusion in equinus with subtalar and talonavicular degenerative change | Removal of metalwork, revision of ankle fusion to total ankle replacement and debridement of talonavicular joint | None |
17 | Failed total ankle replacement – aseptic loosening of talar component | Revision total ankle replacement | None | |
18 | Failed total ankle replacement – aseptic loosening of talar component | Revision total ankle replacement | None | |
19 | Painful total ankle replacement | Revision total ankle replacement | Ongoing pain | |
20 | Painful total ankle replacement | Revision total ankle replacement | None |