Revision of failed total ankle arthroplasty to a transfibular trabecular metal prosthesis.

Authors

Jonathan Day, Kevin A Schafer, Daniel S Choi, Katherine Convery, Zijun Zhang, Lew C Schon

Published in

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. Aug 25, 2026. Epub Aug 25, 2026.

Abstract

The aim of this study is to present early outcomes following revision of failed TAA using a low-profile, transfibular TAA prosthesis.
This was a retrospective review of 11 ankles (11 patients; average 72.1 years-old) who underwent revision TAA using the transfibular trabecular metal (TM) prosthesis. Modes of failure included aseptic loosening/subsidence (n = 7) and periprosthetic joint infection (PJI, n = 4). Demographic, radiographic, and patient-reported outcomes were analyzed at minimum 2-years.
Average time to revision TM TAA was 9 years (range, 2-22), All 4 cases with PJI were successfully treated with two-stage revision. There was significant improvement in VAS and AOS Pain (both p < 0.05). Mean coronal (90.7°) and sagittal (86.1°) alignment were within normal limits. There was 1 (9%) revision, 4 (36%) reoperations.
In select patients with failed TAA who wish to avoid fusion or amputation, revision arthroplasty using a transfibular approach may be a possible alternative.
IV, Case-Series.

PMID:
42686456
Bibliographic data and abstract were imported from PubMed on 03 Sep 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.