End-stage symptomatic ankle arthropathy
Indication
Good bone stock
Indication
Normal vascular status
Indication
Good hindfoot alignment
Indication
Sufficient collateral ligament function
Indication
Moderate to light work/activity demands
Indication
Coexistent midfoot or hindfoot arthrosis
Indication
Bilateral arthritic ankles
Indication
Inflammatory arthropathy (e.g., rheumatoid arthritis)
Indication
Symptomatic ankle arthrodesis or nonunion of ankle fusion
Indication
Previous severe trauma (open fracture, talar dislocation, bone loss)
Relative Contraindication
AVN talus (25–75%)
Relative Contraindication
Severe osteopenia/osteoporosis
Relative Contraindication
Dependence on immunosuppressive medications
Relative Contraindication
Elevated HbA1c in diabetic patients
Relative Contraindication
Demanding sport or work activities
Relative Contraindication
Obesity (especially small ankle size)
Relative Contraindication
Younger patients (<40 years) with intact hindfoot joint
Relative Contraindication
Charcot arthropathy
Absolute Contraindication
Active or recent infection
Absolute Contraindication
AVN talus (>75%)
Absolute Contraindication
Severe uncorrectable deformity
Absolute Contraindication
Progressive sensory or motor dysfunction of lower leg
Absolute Contraindication
Open ulceration of lower extremity
Absolute Contraindication