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KMID : 1130920210250040181
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Journal of Korean Foot and Ankle Society
2021 Volume.25 No. 4 p.181 ~ p.184
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Irreducible Spacer Subluxation after Total Ankle Replacement Arthroplasty in a Patient with Rheumatoid Arthritis: A Case Report
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Seo Dong-Kyo
Kim Sang-Young
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Abstract
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End-stage ankle arthritis is a debilitating condition that causes functional limitations and consequently a poor quality of life. Total ankle replacement arthroplasty is a good alternative to arthrodesis for preserving the ankle’s range of motion. However, many complications can occur in patients with rheumatoid arthritis and with poor soft tissue and bone conditions. A 61-year-old female experienced spacer subluxation after surgery, which was not reduced by medial soft tissue release and spacer change. Buttress plating was found to be a good treatment option to prevent spacer subluxation and can be considered in patients with rheumatoid arthritis with bone erosion and soft tissue damage.
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KEYWORD
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Rheumatoid arthritis, Total ankle replacement arthroplasty, Spacer subluxation, Buttress plate
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