Early Tibiotalocalcaneal Arthrodesis Intramedullary Nail for Treatment of a Complex Tibial Pilon Fracture (AO/OTA 43-C)

Abstract

Therapeutic, Level IV: Case series.

Primary Ankle Arthrodesis for Severely Comminuted Tibial Pilon Fractures

“…Antegrade nailing has a higher incidence of varus malalignment postoperatively. 17 Kirjavainen and Lindahl 4 studied 22 consecutive severely comminuted pilon fractures treated with open reduction and an anterior locked plate combined with the assistance of a bridging external fixator. Complications included nonunion in 2 cases treated with plate removal and a ring frame fixator; early wound problems in 4 cases treated with local muscle flaps; and loss of reduction in 1 case treated with a frame fixator and a bone graft.…”

Tibiotalocalcaneal arthrodesis with a triple-bend intramedullary nail (A3)—2-year follow-up in 60 patients

“…Typical indications are also failed (corrective) arthrodesis of the ankle and subtalar joints, fused ankle and degeneration of the subtalar joint, failed total ankle replacement with insufficient substance of talar body and/or degeneration of subtalar joint, massive hindfoot instability, and severe pilon fractures [1][2][3][4][5][6][7][9][10][11]. TTCA may be performed with different techniques.…”

Retrograde Hindfoot Nailing for Acute Trauma

“…4). Unfortunately, the body of literature that supports using TTC nails in the treatment high-energy trauma is more limited, consisting of a small case series and case reports, highlighting the very selective nature of this technique in the active patient population [10][11][12][13][14].…”

“…Depending on the indications for the procedure and the functional goals of the surgery, TTC nails can be for acute trauma stabilization with or without intent for joint fusion. Outcomes injuries in a younger, active population is a useful limb salvage technique [9][10][11][12][13][14]. TTC nails have also been used in conjunction with other reconstructive techniques to further improve the likelihood of a successful arthrodesis.…”