The Calandruccio Triangular Compression Device. A schematic introduction

Williams, Justin; De, Marcinko; Lazerson, A; Dh, Elleby

doi:10.7547/87507315-73-10-536

Cited by 13 publications

(2 citation statements)

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“…16 Various frames have been used over the years for this purpose; the last 4 patients were treated with the Calandruccio II® (Smith and Nephew, UK) triangular compression device (Figure 3). 17,18 Sutures were removed after 3 weeks. After 6 weeks of compression and non-weight-bearing, the external fixation was removed and a total contact plaster cast was applied for another 6 weeks.…”

Section: Methodsmentioning

confidence: 99%

Arthrodesis With External Fixation in the Unstable or Misaligned Charcot Ankle in Patients With Diabetes Mellitus

Fabrin

Larsen

Holstein

2007

The International Journal of Lower Extremity Wounds

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The unstable or misaligned Charcot ankle with or without chronic foot ulceration is a major clinical challenge. When it cannot be accommodated with an ankle foot orthosis, surgical treatment is indicated in order to avoid leg amputation. This requires extensive soft tissue release and bony resection to realign the foot and arthrodesis with internal or external fixation. The guidance in the literature favors internal fixation. This article reports results with external fixation in 11 patients (12 feet) over a period of 12 years. External fixation was chosen as the surgical option because of the presence of foot ulcers with the attendent risk of infection. There were 7 tibio-talar and 5 tibio-calcaneal fusions. Compression was applied for 6 weeks with an external frame according to Charnley, followed by 6 weeks with total-contact cast. Weight bearing with a rigid leather brace was allowed after 12 weeks. In one case, transtibial amputation was required due to loosening of the distal pins from osteopenic disintegrating bone. In 11 cases (92%), the foot was successfully realigned and independent walking with a brace retained during the follow-up of median 48 months (10-102 months). Bony union took place in 5 out of 7 cases with tibio-talar fusion and in 1 out of 5 with tibio-calcaneal fusion. The functional result in cases with fibrous union was, however, satisfactory. Although meaningful comparisons of series are difficult to conduct and interpret from, the limb salvage rate was similar to results with internal fixation. The authors consider the results to be encouraging and to be used to develop a higher level of evidence.

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Section: Methodsmentioning

confidence: 99%

Arthrodesis With External Fixation in the Unstable or Misaligned Charcot Ankle in Patients With Diabetes Mellitus

Fabrin

Larsen

Holstein

2007

The International Journal of Lower Extremity Wounds

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“…Screws, plates, and intramedullary nails are used for internal fixation and compression 12 - 15 . External fixation devices used for tibio-calcaneal arthrodesis are uniplanar or circumferential compression frames 10 , 16 , 17 . Internal fixation is found to be superior to external fixation as they are biomechanically stable and have higher union rates 11 , 18 .…”

Section: Introductionmentioning

confidence: 99%

Ankle Height Preservation with the Hind Foot Nail and Iliac Crest Bone Blocks in Patients with Sequelae of Partial or Complete Talus Bone Loss

Gunasekeran¹,

Bhowmick²,

Ramasamy³

et al. 2021

Malays Orthop J

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Introduction: The management of talus bone loss in trauma is difficult and unsatisfactory. This study assessed whether the height of the ankle was preserved when entire or partial talar bone loss was managed with hind foot intramedullary nail augmented with autogenous rectangular or trapezoidal cortico-cancellous bone blocks from the iliac crest in the presence of active or latent infection. Materials and methods: Four patients were included in the study from January 2011 to December 2017. In the first stage, all four patients underwent debridement of the ankle, total or partial excision of the talus, and antibiotic-loaded bone cement spacer (ALBC) placement in the ankle joint. The second stage of the arthrodesis procedure was initiated six to eight weeks after the primary procedure, where these patients underwent arthrodesis with hindfoot nail and bone blocks from the iliac crest. Results: All patients were followed-up for an average of 17.6 months (range 12.0 – 32.0 months). The arthrodesis site had united in all these four patients. The AOFAS scores were satisfactory in all patients. One patient underwent nail removal after the arthrodesis site had united. Conclusions: The hind foot nail with iliac crest bone block maintains the ankle height and ensures successful arthrodesis. In patients with partial/ complete bone loss with suspicion or confirmation of infection, staging the arthrodesis procedure minimises the chance of complications.

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Ilizarov Ankle Arthrodesis: A Simple Salvage Solution for Failed and Neglected Ankle Fractures

Chalak

Singh²,

Ghodke³

et al. 2022

JOIO

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The Calandruccio Triangular Compression Device. A schematic introduction

Cited by 13 publications

References 0 publications

Arthrodesis With External Fixation in the Unstable or Misaligned Charcot Ankle in Patients With Diabetes Mellitus

Arthrodesis With External Fixation in the Unstable or Misaligned Charcot Ankle in Patients With Diabetes Mellitus

Ankle Height Preservation with the Hind Foot Nail and Iliac Crest Bone Blocks in Patients with Sequelae of Partial or Complete Talus Bone Loss

Ilizarov Ankle Arthrodesis: A Simple Salvage Solution for Failed and Neglected Ankle Fractures

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