Collapsed total ankle replacement

Case contributed by Dr Chris O'Donnell

Presentation

Total ankle replacement 4 years ago. Now pain and instability.

Patient Data

Age: 65
Gender: Male
X-ray

Varus deformity with lateral extrusion of the polyethylene spacer and collapse of the lateral talar component with impingement medially (as compared with the previous study in 10/08).  Nore development of well defined cystic lesion in the distal fibula.

Development of large well defined cystic lesions in talus, tibia and fibula due to wearing of the polyethylene spacer and foreign body granulomatous reaction leading to bone erosion and collapse of the talar component.

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Case information

rID: 17228
Case created: 27th Mar 2012
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

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