Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Total Ankle Replacement
India's First Total Ankle Replacement Case
India's first total ankle replacement — a STAR implant placed after revision of a malunited pilon fracture, still surviving at 13 years.
Patient Age
34 Years
MECHANISM
Malunited pilon fracture
PRESENTATION
Post-Traumatic Arthritis
APPROACH
Revision Fibula Fixation, then STAR Replacement
01
Clinical Rationale
A malunited pilon fracture had to be corrected before any implant could be expected to last. Fibular length and rotation were restored first; the replacement that followed was India's first, and it survives at thirteen years.
02
Surgical Approach
Reconstruction was staged: stage one involved implant extraction followed by revision fibula fixation to correct length and rotation. Stage two was a STAR total ankle replacement — India's first — which remains surviving at 13 years.
02
Imaging & Progression
Pre-operative imaging, staged intra-operative views and long-term follow-up. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Ankle replacement is a strong option but has limitations in terms of implant longevity.
#2
Correction of fibular rotation and length is a prerequisite for the longevity of replacement implants.
#3
Post-traumatic malunion must be corrected before the joint is replaced, not after.
#4
The STAR implant used here is no longer available in India, supplied only for demonstration surgeries until 2021.
04
Clinical Care Points
RIGHT SIDE
- i) Stage 1 — Implant extraction
ii) Revision fibula fixation (length & rotation)
iii) Stage 2 — STAR total ankle replacement
iv) Surviving at 13 years
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
India's First Total Ankle Replacement Case
India's first total ankle replacement — a STAR implant placed after revision of a malunited pilon fracture, still surviving at 13 years.
A 34-year-old pharmacologist developed painful post-traumatic ankle arthritis after a malunited intra-articular pilon fracture. The deformity involved both the ankle surface and the fibula, making a straightforward replacement unsafe. Because he was young and wished to preserve ankle movement, treatment was planned as a staged reconstruction rather than an immediate fusion.
%201.png)