Risks to the Blood Supply of the Talus with Four Methods of Total Ankle Arthroplasty by Joshua N. Tennant, Chamnanni Rungprai, Marc A. Pizzimenti, Jessica.

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Presentation transcript:

Risks to the Blood Supply of the Talus with Four Methods of Total Ankle Arthroplasty by Joshua N. Tennant, Chamnanni Rungprai, Marc A. Pizzimenti, Jessica Goetz, Phinit Phisitkul, John Femino, and Annunziato Amendola J Bone Joint Surg Am Volume 96(5): March 5, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.

Deltoid branches of the medial aspect of the talus (arrow) insert below the medial articular facet of the talus (line) (Fig. 1-A). Joshua N. Tennant et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.

INBONE II specimen showing injury to the artery of the tarsal canal (arrow indicating drill hole) on the CT scan (Fig. 2-A), as was observed in three of the four specimens. Joshua N. Tennant et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.

TMTA specimens showing injury to the first perforator of the peroneal artery and the proximity of the TMTA system to the dorsalis pedis. Joshua N. Tennant et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.

Salto Talaris specimen showing the single injury (arrow) to the artery of the tarsal canal from the 2.0-mm pin on a CT scan (Fig. 4-A), on the plantar aspect of the postoperative talus (Fig. 4-B), and with the dorsal-to-plantar pin in place (Fig. 4-C). Joshua N. Tennant et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.

Postoperative CT scan of a STAR specimen showing the medial talar cut at the previous insertion of the main deltoid branch (Fig. 5-A, arrow). Joshua N. Tennant et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.

Proximity of the posterior tibial artery (arrows) to the distal medial tibial saw cut was noted in all twelve specimens (mean proximity for the twelve specimens, 4.7 mm). Joshua N. Tennant et al. J Bone Joint Surg Am 2014;96: ©2014 by The Journal of Bone and Joint Surgery, Inc.