FAI May 2025 Podcast: Postoperative Medial Gutter Impingement Following Primary Total Ankle Arthroplasty: A Retrospectiv 2x4x4i

Medial gutter impingement may compromise the results of an otherwise well-fixed total ankle arthroplasty (TAA), but no previous study has assessed predisposing factors. This case-control study sought to investigate potential risk factors and the role of talar component downsizing in decreasing medial impingement.   In conclusion, talar component downsizing correlated with an 82% reduction in the probability of medial gutter impingement. Postoperative varus alignment, an elevated t line level, and medially translated and internally rotated talar component were more prevalent in patients reoperated for medial impingement.     Click here to read the article. 2he4z