{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:57:03Z","timestamp":1774544223857,"version":"3.50.1"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007109","name":"University of Ferrara","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007109","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Total ankle arthroplasty (TAR) procedures have become more reliable and incidence is increasing. A growing number of postoperative complications can be expected and should be correctly addressed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>A 43-year-old woman suffering from severe ankle osteoarthritis underwent TAR (Stryker's Infinity with Prophecy alignment guides, uncemented tibial component and cemented talus component). After a fall, one month after the surgery, she presented with a fracture of the medial malleolus and an anterior periprosthetic fracture of the tibia, with anterior dislocation of the tibial prosthetic component. Fracture fixation and partial revision surgery was planned using the same anterior surgical access. To restore length, rotation and joint articulation, the medial malleolus was first reduced and synthesized with a plate and 6 screws through additional minimally invasive medial ankle incisions. Once the medial malleolus was stabilized, the already mobilized tibial component was removed. Freehand cuts under fluoroscopic guidance on the anterior surface of the tibia were performed. After a final check with a trial component, a Stryker's Inbone II stem, which matched the previously inserted talar component, was implanted and partially cemented to fill the remaining bone gaps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Only few case reports of periprosthetic ankle fractures exist, and none of them were similar to ours. There are no published precedents for this revision approach from a stemless to a stemmed tibial implant without changing the talar implant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Partial revision after a complex periprosthetic fracture results in a satisfactory outcome if surgery is performed in specialized centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109336","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T06:57:51Z","timestamp":1706857071000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Partial revision of a dislocated periprosthetic tibial fracture after total ankle replacement with a stemmed implant and plate fixation: A case report"],"prefix":"10.1097","volume":"116","author":[{"given":"Giuseppe","family":"De Rito","sequence":"first","affiliation":[{"name":"Orthopaedic Ward, Casa di Cura Santa Maria Maddalena, Via Gorizia, Occhiobello, Rovigo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Biscione","sequence":"additional","affiliation":[{"name":"Orthopaedic Ward, Casa di Cura Santa Maria Maddalena, Via Gorizia, Occhiobello, Rovigo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Volpe","sequence":"additional","affiliation":[{"name":"Policlinico Abano, Piazza Cristoforo 1, Abano Terme, Padova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Liverani","sequence":"additional","affiliation":[{"name":"Orthopaedic Ward, Casa di Cura Santa Maria Maddalena, Via Gorizia, Occhiobello, Rovigo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo Alberto","family":"Zanoli","sequence":"additional","affiliation":[{"name":"Orthopaedic Ward, Casa di Cura Santa Maria Maddalena, Via Gorizia, Occhiobello, Rovigo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martina","family":"Maritati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"3","key":"R1-25-20260326","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.fas.2023.02.014","article-title":"Incidence of ankle arthrodesis and total ankle replacement between 1997 and 2018: a nationwide registry study in Finland","volume":"29","author":"Tapaninaho,","year":"2023","journal-title":"Foot Ankle Surg."},{"issue":"3","key":"R2-25-20260326","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1177\/1938640020950181","article-title":"Nationwide analysis of Total ankle replacement and ankle arthrodesis in Medicare patients: trends, complications, and cost","volume":"15","author":"Tucker,","year":"2022","journal-title":"Foot Ankle Spec."},{"key":"R3-25-20260326","first-page":"9","year":"2022","journal-title":"Demographics and Outcome of Ankle Arthroplasty Supplementary Report, p."},{"issue":"5","key":"R5-25-20260326","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.fas.2019.07.006","article-title":"Outcome after total ankle arthroplasty with a minimum of five years follow-up: a systematic review and meta-analysis","volume":"26","author":"Onggo,","year":"2020","journal-title":"Foot Ankle Surg."},{"issue":"8","key":"R6-25-20260326","doi-asserted-by":"crossref","first-page":"711","DOI":"10.2106\/JBJS.K.01580","article-title":"The Scandinavian total 326 ankle replacement: long-term, eleven to fifteen-year, survivorship analysis of the prosthesis in seventytwo consecutive patients","volume":"95","author":"Brunner,","year":"2013","journal-title":"J. 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Am."},{"issue":"6","key":"R7-25-20260326","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1177\/1071100714568869","article-title":"Infected total ankle arthroplasty: risk factors and treatment options.","volume":"36","author":"Patton","year":"2015","journal-title":"Foot Ankle Int."},{"issue":"5","key":"R8-25-20260326","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg Lond Engl."},{"issue":"2022","key":"R10-25-20260326","first-page":"2150804","article-title":"Predictive factors of surgical site infection in prosthetic joint surgery: a prospective study on 760 arthroplasties","volume":"27","author":"Maritati,","year":"2022","journal-title":"Mediators Inflamm."},{"issue":"11","key":"R11-25-20260326","doi-asserted-by":"crossref","first-page":"1500","DOI":"10.1302\/0301-620X.95B11.31633","article-title":"The outcome of total ankle replacement: a systematic review and meta-analysis.","volume":"95-B","author":"Zaidi","year":"2013","journal-title":"Bone Joint J."},{"issue":"9","key":"R12-25-20260326","doi-asserted-by":"crossref","first-page":"815","DOI":"10.2106\/JBJS.L.00572","article-title":"Periprosthetic fractures in total ankle replacement: classification system and treatment algorithm.","volume":"95","author":"Manegold","year":"2013","journal-title":"J. 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