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Review Question - QID 475

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QID 475 (Type "475" in App Search)
A 57-year-old male has right ankle pain for 6 years and has failed conservative management. Radiographs of the ankle are shown in Figures A and B. Which of the following is a contraindication for a total ankle arthroplasty?
  • A
  • B

Posttraumatic arthritis

1%

29/2554

Reconstructible ankle ligament damage

3%

82/2554

Neuropathic joint disease

87%

2219/2554

Inflammatory arthritis

8%

206/2554

Age greater than 50 years old

0%

10/2554

  • A
  • B

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Total ankle arthroplasty (TAA) is an alternative to arthrodesis, especially for elderly patients with end-stage arthritis and normal ankle and hindfoot alignment.

According to the paper by Deorio et al, the indications for TAA include primarily posttraumatic and inflammatory arthritis. Contraindications to TAA include unresectable osteonecrotic bone, peripheral vascular disease, neuropathy, neuropathic joint disease (Charcot arthropathy), ankle infection, severe joint laxity, nonreconstructible ankle ligaments, loss of lower leg muscular control, and severe osteopenia or osteoporosis

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