DOI: 10.2106/jbjs.cc.22.00787 ISSN:

Use of Femoral Head Allograft for Extended Bone Loss in Revision Total Ankle Arthroplasty

Peter Kvarda, Roxa Ruiz, Beat Hintermann
  • Orthopedics and Sports Medicine
  • Surgery
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Case:

A 38-year-old male patient presented with severe ankle pain 13 years after a total ankle arthroplasty (TAA). Radiographic evaluation revealed loosening of the implant and extensive osteolytic lesions. The medial tibial plafond and malleolus were reconstructed using a fresh-frozen femoral head graft, and revision TAA was performed. The midterm results were satisfactory, with adequate integration of the allograft and stable implant components.

Conclusion:

The use of the allograft technique in revision TAA is feasible in the presence of severe bone loss, including the malleoli, and allows firm component fixation of the reconstructed bone.

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