Ankle Fusion and Tibial Lengthening (LATN Technique) for Failed Ankle Replacement

This case is about a young woman with a failed total ankle replacement (TAR)Total ankle replacement (TAR) who has an additional leg-length discrepancy (LLD)Leg length discrepancy (LLD) of 3.5 cm. Removal of the TAR resulted in a total bone loss of 8.5 cm. Infection was present in the ankle, and this required additional treatment with intravenous antibiotics. A proximal tibial lengthening using the lengthening and then nailing (LATN) techniqueLengthening and then nailing (LATN) technique and an ankle fusion were done with a two-level Ilizarov/Taylor spatial frame (TSF).