Total Ankle Replacement for Treatment of End-Stage Osteoarthritis in Elderly Patients

Figure 4

Periprosthetic fracture in a 61-year-old female patient with rheumatoid arthritis after struggling on the stairs. Marked angulation into valgus (A-B) and recurvatum (C), with supination of the foot (D). Uneventful evolution after internal fixation. One year afterwards, the ankle was stable and the patient was able to walk without any pain, though the ankle was still in slight valgus (E-F). Correct situation in lateral view (G) and AP view (H) of the foot.