Revisionsoperationen nach OSG-Prothesen-Implantation: Klinik, Diagnostik und Therapiemöglichkeiten

Recent developments in the design of modern total ankle replacements have significantly increased the implant survival rate. Detection of reasons for persistent symptoms is complex. The most common reasons for persistent symptoms and revision are aseptic loosening, periprosthetic joint infection, impingement, inlay wear, periprosthetic fracture, malalignment and instability as well as osteoarthritis of adjacent joints. This article provides an overview of the surgical options in the light of the current literature. Whereas in previous times mostly arthrodesis was recommended for revisions, the full spectrum of revision surgery is now available for total ankle replacement. Measured by functional, clinical scores, a good result can often be demonstrated after revision surgery.