{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T19:09:34Z","timestamp":1776452974302,"version":"3.51.2"},"reference-count":32,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"8","license":[{"start":{"date-parts":[[2006,8,1]],"date-time":"2006-08-01T00:00:00Z","timestamp":1154390400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2006,8]]},"abstract":"<jats:p>Advances in the design of the components for total ankle replacement have led to a resurgence of interest in this procedure.<\/jats:p><jats:p>Between January 1999 and December 2004, 16 patients with a failed total ankle replacement were referred to our unit. In the presence of infection, a two-stage salvage procedure was planned. The first involved the removal of the components and the insertion of a cement spacer. Definitive treatment options included hindfoot fusion with a circular frame or amputation. When there was no infection, a one-stage salvage procedure was planned. Options included hindfoot fusion with an intramedullary nail or revision total ankle replacement. When there was suspicion of infection, a percutaneous biopsy was performed. The patients were followed up for a minimum of 12 months.<\/jats:p><jats:p>Of the 16 patients, 14 had aseptic loosening, five of whom underwent a revision total ankle replacement and nine a hindfoot fusion. Of the two with infection, one underwent fusion and the other a below-knee amputation. There were no cases of wound breakdown, nonunion or malunion.<\/jats:p><jats:p>Management of the failed total ankle replacement should be performed by experienced surgeons and ideally in units where multidisciplinary support is available. Currently, a hindfoot fusion appears to be preferable to a revision total ankle replacement.<\/jats:p>","DOI":"10.1302\/0301-620x.88b8.16768","type":"journal-article","created":{"date-parts":[[2006,7,28]],"date-time":"2006-07-28T16:51:15Z","timestamp":1154105475000},"page":"1039-1047","source":"Crossref","is-referenced-by-count":130,"title":["The management of failed ankle replacement"],"prefix":"10.1302","volume":"88-B","author":[{"given":"R.","family":"Kotnis","sequence":"first","affiliation":[{"name":"Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Pasapula","sequence":"additional","affiliation":[{"name":"Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Anwar","sequence":"additional","affiliation":[{"name":"Dumfries & Galloway Royal Infirmary, Bankend Road, Dumfries DG1 4AT, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. 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