Extensile anteromedial approach for modified pantalar arthrodesis

Abstract

The aim of this paper is to present a case report of an alternative surgical approach for the anteromedial incision for a modified pantalar arthrodesis. After recent literature supporting an anteromedial approach for a total ankle replacement (TAR), with the incision extending from the ankle joint to the talonavicular joint [1], the decision was made by the principal investigator to use this approach for a modified pantalar arthrodesis. This surgical principle is based on the understanding that the safest incision placement generally lies between angiosomes [2]. This approach splits the angiosome between the anteromedial blood supply from the posterior tibial artery and the anterior and lateral blood supply from the dorsalis pedis artery. Currently, no data regarding incision complications can be found with this approach with respect to a modified pantalar arthrodesis.