Tibiotalocalcaneal arthrodesis with femoral head allograft, external fixator provisional compression, and locking plate fixation after failed total ankle arthroplasty

The number of total ankle arthroplasties has increased in recent years with the improvement of implants and advanced attempts to maintain ankle movement. However, this technique presents complications, such as aseptic loosening and infection, requiring revision surgery. In this scenario, conversion by tibiotalar or tibiotalocalcaneal arthrodesis is highly accepted and can be performed with external fixators, intramedullary rods, screws, or locking plates. This article shows the resolution of a case of aseptic loosening tibiotalocalcaneal arthrodesis fixed with a locking plate associated with bone allograft. Level of Evidence V; Therapeutic Studies; Expert Opinion.