Salvage of a failed DePuy Alvine Total Ankle Prosthesis with Agility LP custom stemmed tibia and talar components.

This article presents a procedure whereby a second-phase design DePuy Alvine Total Ankle Prosthesis underwent revision to an Agility LP custom-designed stemmed tibial and talar component total ankle replacement system. The rationale for this procedure, the process of developing the custom components, the operative sequence of events, and recovery course are presented in detail. Causes for concern regarding subsequent revision, should this be required, are raised.