CME On Demand: Tackling Complex and Revision TAR-Tackling Complex and Revision TAR

Video Transcription

Video Summary

The AOFSA foot and ankle webinar focused on tackling complex and revision total ankle replacements. Moderators included Dr. Edward Hopp, Dr. James Leitchman, Jensen Henry, and Mimi Wang. The program was open to AOFSA members and orthopedics trainees, supported by Arthrex. Participants were encouraged to donate to support future educational programs. The webinar covered various aspects of ankle replacement surgery, including the treatment of deformities, stem versus low-profile implants, and revising failed ankle replacements.<br /><br />Dr. Leitchman discussed strategies for managing varus and valgus deformities during ankle replacements, emphasizing the importance of gutter debridement, careful alignment, and soft tissue management. He shared multiple case examples, illustrating different approaches and outcomes, highlighting the challenges in correction and the role of algorithmic planning.<br /><br />Dr. Henry talked about choosing between stem and low-profile implants, noting stems may reduce early failures, particularly with larger patients or those with concurrent hindfoot fusions. She presented research indicating stems offer better stability and lower failure rates due to reduced micromotion, leading to improved osseous integration over time.<br /><br />Dr. Wang's discussion focused on revision strategies for total ankle replacements, considering the various causes of failure, including extra-prosthetic issues, wear patterns, and periprosthetic complications. Revision options such as fusion or replacement with advanced modular or custom implants were explored, with case studies showing the complexity and critical decision-making required in revision procedures.<br /><br />The session concluded with case presentations, reinforcing the need for careful planning and advanced techniques to manage complications and improve patient outcomes in total ankle replacement surgeries.

Asset Subtitle

Moderator: Edward Haupt, MD

Faculty: James Lachman, MD Jensen Henry MD and Mimi Wang MD

This webinar will discuss the Total ankle arthroplasty is increasing in utilization nationwide and worldwide. We would like to continue to review current evidence and identify best-practice techniques so that surgeons utilizing this procedure around the nation and world have the best evidence to make decisions for patient care. The webinar will conclude with case presentations and opinions from our expert faculty.

At the conclusion of this webinar, you will be able to:

Identify patient factors where special techniques or adjunctive procedures to management deformity may be indicated in total ankle arthroplasty
Discuss internal fixation constructs and technique for midfoot and ankle/hindfoot deformities
Evaluate current evidence of stemmed versus the low-profile implants for total ankle arthroplasty
Identify the common reasons for failure of total ankle arthroplasty, and revision solutions to address each

Meta Tag

Content Type Webinar Recording

Year Published 2025

Keywords

AOFSA webinar

total ankle replacement

complex ankle surgery

revision ankle replacement

varus valgus deformities

stem implants

low-profile implants

ankle replacement complications

fusion revision

orthopedic education