A Novel Technique for Lateral Ankle Ligament Reconstruction in a Total Ankle Total Talus Replacement Case

In recent years, the tibial component and polyethylene bearing of a total ankle replacement have been used in conjunction with a custom total talus replacement in cases of severe talar loss with concomitant tibiotalar arthritis, referred to as total ankle total talus replacement. Multiple reports have linked ligamentous instability with poor outcomes after total ankle replacement. In the current study, we describe a surgical technique for lateral ankle ligament reconstruction in a total ankle total talus replacement case through the use of 3-dimensionally printed tunnels.

Level of Evidence: Diagnostic Level V—expert opinion. See Instructions for Authors for a complete description of levels of evidence.