Tibiotarsal compression arthrodesis using a lateral locking plate

Coughlin, Michael J.; Nery, Caio; Baumfeld, Daniel; Jastifer, James R.

doi:10.1590/s0102-36162012000500012

Cited by 7 publications

(23 citation statements)

References 20 publications

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“…Fixed-angle plating for TTC arthrodesis is less described in the literature, but success has been reported with blade plating and a variety of locking plates. 2,12,15,21,22,26 Although more exposure is required for application, this approach and fixation technique allow for quick, direct access and fixation. Although not examined in this study, this method may decrease the operative time.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Posterior Approach With Intramedullary Nailing Versus Lateral Transfibular Approach With Fixed-Angle Plating for Tibiotalocalcaneal Arthrodesis

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Comparison of Posterior Approach With Intramedullary Nailing Versus Lateral Transfibular Approach With Fixed-Angle Plating for Tibiotalocalcaneal Arthrodesis

et al. 2017

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“…2,3 Há diversas opções de tratamento para a OAT, do manejo clínico ao cirúrgico, quando medidas conservadoras não surtem efeitoas principais opções de tratamento cruento incluem a artrodese e as artroplastias de substituição e de distração. 4 A artrodese tem sido o procedimento de escolha, por reduzir a dor, restaurar o alinhamento e estabilizar o segmento, preservando a marcha.…”

Section: Introductionunclassified

“…A artrodese do tornozelo pode ser realizada mediante utilização de diversos tipos de implante e diferentes vias de acesso, utilizando ou não enxertos ou substitutos ósseos. [2][3][4] A artrodese tibiotalocalcaneana (ATTC) minimamente invasiva, mediante haste intramedular retrógrada bloqueada (HIMRB) tem sido indicada pelas vantagens biomecânicas (carga compartilhada, maior rigidez à flexão, compressão dinâmica e estabilidade rotacional) e biológicas (grande área de contato ósseo, procedimento minimamente invasivo, cruentização articular que produz "calda" osteocartilaginosa com potencial hematopoiético). 3,5 O objetivo do presente estudo é relatar os casos de três portadores de OAT secundária (três tornozelos) submetidos à ATTC minimamente invasiva, utilizando HIMRB.…”

Section: Introductionunclassified

“…2,3 There are numerous treatment options for AOA, from clinical to surgical management, when conservative measures have no effectthe main options for open treatment include arthrodesis and replacement and distraction arthroplasties. 4 Arthrodesis has been the procedure of choice for reducing pain, restoring alignment and stabilizing the segment, preserving gait.…”

Section: Introductionmentioning

confidence: 99%

“…Ankle arthrodesis can be performed using different types of implants and different access routes, using or not grafts or bone substitutes. [2][3][4] Minimally invasive tibiotalocalcaneal arthrodesis (TTCA) by means of blocked retrograde intramedullary nail (BRIMN) has been indicated due to its biomechanical (shared load, greater bending stiffness, dynamic compression, and rotational stability) and biological (large bone contact area, minimally invasive procedure, articular opening that produces osteocartilaginous "syrup" with hematopoietic potential) advantages. 3,5 The aim of the present study is to report the cases of three patients with secondary AOA (three ankles) submitted to minimally invasive TTCA, using BRIMN.…”

Section: Introductionmentioning

confidence: 99%

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Artrodese tibiotalocalcaneana minimamente invasiva com haste intramedular retrógrada bloqueada – Relato de três casos

Moreira

Jambeiro

Neto

et al. 2021

Rev Bras Ortop (Sao Paulo)

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ResumoA osteoartrite do tornozelo (OAT) está associada a quadro álgico e limitação funcional variável, demandando tratamento clínico e eventual indicação cirúrgica quando as medidas conservadoras são inefetivas – a artrodese tem sido o procedimento de escolha, por reduzir a dor, restaurar o alinhamento articular e tornar o segmento estável, preservando a marcha. O presente estudo relata 3 casos (3 tornozelos) de pacientes do sexo masculino, com entre 49 e 63 anos de idade, portadores de OAT secundária, American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS AHS, na sigla em inglês) pré-operatória de 27 a 39 pontos, tratados mediante artrodese tibiotalocalcaneana minimamente invasiva utilizando haste intramedular retrógrada bloqueada. A permanência hospitalar foi de 1 dia, e os pacientes foram autorizados para carga imediata com órteses removíveis para deambulação, conforme tolerado. O tratamento fisioterápico, introduzido desde o internamento, foi mantido, priorizando-se treino de marcha, ganho de força e propriocepção. Foi realizado acompanhamento clínico e radiográfico nas semanas 1, 2, 6, 12 e 24. Após evidências de consolidação (entre a 6ª e a 10ª semanas), as órteses foram retiradas. Um paciente queixou-se de dor no pós-operatório imediato e, ao final do 1° ano, apenas 1 paciente apresentou dor durante a reabilitação, resolvida completamente com analgésicos. Atualmente, os pacientes não apresentam queixas, retornando às atividades sem restrições – um deles, à prática de futebol e rapel. A AOFAS AHS pós-operatória foi de 68 a 86 pontos.

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One-stage tibial deformity correction and ankle arthrodesis for ankle osteoarthritis and tibial malalignment after low tibial osteotomy

Tonogai

Sairyo

2021

International Journal of Surgery Case Reports

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Introduction There are no reports on one-stage corrective tibial opening wedge osteotomy and arthrodesis for osteoarthritis of the ankle and tibial malalignment after distal tibial osteotomy. Presentation of case The patient was a 70-year-old woman who presented with complaints of ankle pain and lower limb deformity after tibial osteotomy performed for ankle arthritis 17–18 years earlier. Clinical examination revealed marked swelling around the ankle joint and pain and tenderness at the joint line. Imaging showed tibial malalignment and severe osteoarthritic changes in the ankle. The patient had valgus deformity of 21° and recurvatum deformity of 4°. In two months, she admitted to Department of Orthopedics at Tokushima University Hospital in Japan and we performed one-stage corrective tibial opening wedge osteotomy and ankle arthrodesis with an anterolateral plate through a lateral longitudinal incision. After removal of the previous implants, the remaining articular cartilage and osteophytes were removed from the tibial and talar surfaces. After debridement of the talar trochlea and tibial plateau, the center of rotation and angular deformity of the tibia was cut transversely and a 1-cm bone graft obtained from the removed fibula was inserted into the osteotomy site, which decreased the tibial malalignment. An anterolateral locking plate was inserted over the anterior and lateral sides of the tibia, and the ankle was fused using 2 cannulated screws. Discussion The patient wore an above-knee splint for 6 weeks to avoid weight-bearing followed by gradual weightbearing with a brace thereafter. Osseous fusion was achieved after about 3.5 months. Radiographs obtained at the 2-year follow-up visit showed complete union of the tibia and talus. Full correction of valgus and recurvatum deformity was achieved, and the patient was able to perform daily activities with almost no pain. Conclusion We reported a rare case of ankle osteoarthritis and tibial malalignment that was successfully treated with one-stage corrective tibial opening wedge osteotomy and ankle arthrodesis using an anterolateral plate via a transfibular approach.

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Tibiotarsal compression arthrodesis using a lateral locking plate

Cited by 7 publications

References 20 publications

Comparison of Posterior Approach With Intramedullary Nailing Versus Lateral Transfibular Approach With Fixed-Angle Plating for Tibiotalocalcaneal Arthrodesis

Comparison of Posterior Approach With Intramedullary Nailing Versus Lateral Transfibular Approach With Fixed-Angle Plating for Tibiotalocalcaneal Arthrodesis

Artrodese tibiotalocalcaneana minimamente invasiva com haste intramedular retrógrada bloqueada – Relato de três casos

One-stage tibial deformity correction and ankle arthrodesis for ankle osteoarthritis and tibial malalignment after low tibial osteotomy

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