Salto Talaris Total Ankle Replacement

Total ankle replacement is the subject of renewed interest in modern orthopedics because of advancements in implant design. The Salto Talaris total ankle replacement is a fixed-bearing implant approved for use in the United States, the design for which is based on a mobile bearing prosthesis used in Europe. The main indications for ankle replacement include pain relief in severe end-stage ankle arthritis. The surgical technique for the Salto Talaris uses an extensile anterior approach to gain access to the ankle joint, followed by multiple tibial and talar cuts using alignment guides. Proper precautions must be taken to avoid complications such as wound problems, iatrogenic fracture of the malleoli, and nerve injury. This article aims to describes the surgical technique for the Salto Talaris total ankle replacement.