Prophylactic Muscle Free Flap for Total Ankle Arthroplasty With Vascular Risk Factors

Total ankle arthroplasty (TAA) is a treatment for ankle arthritis that preserves the joint's mobility. Conditions causing poor peripheral blood flow are contraindications for TAA. A 63-year-old man with posttraumatic ankle osteoarthritis who was considered high-risk for TAA due to obesity, hist...

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Bibliographic Details
Published inEplasty Vol. 24; p. e1
Main Authors Olsson, Sofia E, Fijany, Arman J, Downey, Michael W, Pekarev, Maxim
Format Journal Article
LanguageEnglish
Published United States HMP Global 04.01.2024
Subjects
Case Report
Soft Tissue Reconstruction
Vascular Risk Factors
Free Flap
Muscle Flap
Total Ankle Arthroplasty
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Summary:Total ankle arthroplasty (TAA) is a treatment for ankle arthritis that preserves the joint's mobility. Conditions causing poor peripheral blood flow are contraindications for TAA. A 63-year-old man with posttraumatic ankle osteoarthritis who was considered high-risk for TAA due to obesity, history of trauma, tobacco usage, chronic venous stasis, lymphedema, and hypertension subsequently underwent TAA followed by a prophylactic muscle free flap to improve peripheral blood flow and soft tissue integrity. He recovered with no pain and excellent ankle mobility. This case highlights the potential usage of prophylactic muscle free flaps to mitigate vascular risk factors in high-risk patients undergoing TAA.
ISSN:1937-5719
1937-5719