CME OnDemand: Total Ankle Replacement: Are We Starting to Replace More Than Fuse?-Total Ankle Replacement: Are We Starting to Replace More Than Fuse?

Video Transcription

Video Summary

The video is a discussion on total ankle replacement surgery and the factors to consider in patients with various deformities. The video starts with a general overview of the province where the surgery is being performed and the number of ankle replacements being done. The speaker then discusses the increase in ankle replacements and fusions over the years and the importance of tracking procedures to evaluate outcomes. The ratio of replacements to fusions has remained steady, with replacements making up about 40% of ankle arthritis procedures. The speaker also discusses the potential complications and the need for better terminology to describe adverse events and reoperations. The video then moves on to summarize various studies on total ankle replacements in patients with different factors such as age, obesity, foot deformities, and comorbidities. The studies show that total ankle replacements can be successful in patients with moderate to severe deformities and that outcomes are similar to those with neutral alignment. The speaker also discusses the need for additional procedures, such as osteotomies or fusions, in cases where there is instability or other deformities. The importance of soft tissue balancing and the potential need for staged procedures is emphasized. Finally, the speaker presents a few case studies to illustrate the decision-making process in patients with deformities and the various factors that need to be considered. Overall, the video provides a comprehensive overview of total ankle replacement surgery and the factors to consider in patients with deformities.

Keywords

total ankle replacement surgery

factors to consider

patients with deformities

ankle replacements

ankle fusions

complications

studies

moderate to severe deformities

outcomes

decision-making process