Figures & data
Demographic, perioperative, and outcome data on all salvage procedures
Figure 1. A 63-year-old man (case 3) with long-standing RA and a preoperative varus deformity of the ankle of 20 degrees. A. After implantation of an LCS prosthesis. There is a persistent varus deformity and edge-loading of the prosthesis. B and C. After conversion to tibiotalar arthrodesis. The arthrodesis was stabilized by a humeral blade plate, implanted at the lateral side. Debris originating from the edge-loading of the metallic components is visible at the arthrodesis site.
![Figure 1. A 63-year-old man (case 3) with long-standing RA and a preoperative varus deformity of the ankle of 20 degrees. A. After implantation of an LCS prosthesis. There is a persistent varus deformity and edge-loading of the prosthesis. B and C. After conversion to tibiotalar arthrodesis. The arthrodesis was stabilized by a humeral blade plate, implanted at the lateral side. Debris originating from the edge-loading of the metallic components is visible at the arthrodesis site.](/cms/asset/2d1c57c6-fbcc-46e6-959b-5dbc117c2638/iort_a_463385_f0001_b.jpg)
Figure 2. A 43-year-old woman (case 8) with RA had a Buechel-Pappas prosthesis implanted. She had a preoperative valgus deformity of 10 degrees. A. 3 years postoperatively, when, due to a malleolar insufficiency fracture, a recurrent valgus deformity with edge-loading of the prosthesis had developed. B. A tibio-talocalcaneal arthrodesis was performed, stabilized by a retrograde intramedullary locking nail. C. 2 years after the salvage procedure, the nail had been removed. 6 years later, there was a fibrous nonunion. The ankle was fairly asymptomatic and did not require a second-attempt procedure.
![Figure 2. A 43-year-old woman (case 8) with RA had a Buechel-Pappas prosthesis implanted. She had a preoperative valgus deformity of 10 degrees. A. 3 years postoperatively, when, due to a malleolar insufficiency fracture, a recurrent valgus deformity with edge-loading of the prosthesis had developed. B. A tibio-talocalcaneal arthrodesis was performed, stabilized by a retrograde intramedullary locking nail. C. 2 years after the salvage procedure, the nail had been removed. 6 years later, there was a fibrous nonunion. The ankle was fairly asymptomatic and did not require a second-attempt procedure.](/cms/asset/c5c5f7cd-6862-4e51-b13a-b3c1f0b01de3/iort_a_463385_f0002_b.jpg)