Periprosthetic Fracture After Total Ankle Replacement: Surgical Technique

Abstract

Level of Evidence: V, Expert Opinion

Minimally Invasive Plate Osteosynthesis (MIPO) for Periprosthetic Fracture after Total Ankle Arthroplasty: A Case Report

“…8 and Doet et al reported the prevalence to be 5% (Table 1). 5,9 Our case is different from previously reported cases in three aspects. First, the periprosthetic fracture in our case is the first reported case in which a Mobility  prosthesis was used.…”

“…In the patient who received an AES prosthesis, the fracture developed due to a direct blow to the ankle. 9 In our case, the general condition of the patient was unremarkable, osteoporosis was not found intraoperatively, and a simple fall (minor trauma) led to the periprosthetic fracture. The authors hypothesize that the periprosthetic fracture may have resulted from the presence of a special tibial slot for component insertion and the unique design of the tibial component of Mobility  prostheses.…”

“…After an extensive literature search, we were only able to find five reported cases of periprosthetic fracture. 5,9 Of these cases, four developed after using the Buechel-Pappas prosthesis in patients with inflammatory disease and one case developed after using an unknown implant in a patient who suffered direct trauma. To the best of our knowledge, this case report is the first in which minimally invasive plate osteosynthesis (MIPO) with a locking compression plate (LCP) was used for periprosthetic fracture after TAA.…”

Periprosthetic Fractures in Total Ankle Replacement: Classification System and Treatment Algorithm

“…With improvements in implant design and refinements of surgical technique, the intraoperative fracture rate has declined, but the number of postoperative periprosthetic ankle fractures appears to be increasing 8,9 . The existing body of literature describing periprosthetic ankle fractures is restricted primarily to case reports or small series, and to our knowledge there is no classification system clearly categorizing periprosthetic ankle fractures that could be used to guide fracture treatment.…”

Partial revision of a dislocated periprosthetic tibial fracture after total ankle replacement with a stemmed implant and plate fixation: A case report

“…Not many other cases of fractures around a TAR have been published. Haendlmayer et al [ 18 ] presented a plate fixation of a tibial PF with a stable tibial component. In their discussion they cite 2 cases of distal tibial fractures around a TAR in which the tibial component was revised, reported as a podium presentation of which we found no published record.…”