J Korean Foot Ankle Soc.  2024 Mar;28(1):1-7. 10.14193/jkfas.2024.28.1.1.

Soft Tissue Balancing on Total Ankle Replacement Surgery

• Choi S
• Kim DW
• Kang H

• KMID: 2553802
• DOI: http://doi.org/10.14193/jkfas.2024.28.1.1

Abstract

Despite the advances in total ankle replacement (TAR), TAR has emerged as a promising alternative to ankle arthrodesis, particularly in severe ankle arthritis. Restoring ankle stability and alignment is the most important technical consideration and the goal of TAR. Hence, additional procedures, such as soft tissue balancing and osteotomies, are often critical parts of surgical planning. This article reviews the basics of joint balancing, offering suggestions on procedure selection for ligamentous balancing and varus and valgus malalignment in TARs.

Keyword

Total ankle replacement; Ligament balance; Soft-tissue balance; Alignment; Ankle

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