Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing

Mendicino, Robert W.; Catanzariti, Alan R.; Saltrick, Karl R.; Dombek, Michael F.; Tullis, Brandon L; Statler, Trenton K.; Johnson, Brandi M

doi:10.1053/j.jfas.2004.01.012

Cited by 144 publications

(93 citation statements)

References 9 publications

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“…Patients who had a TTC arthrodesis with the Tournier Stabilis © plate had substantially higher functional and lower pain scores than before surgery. The mean time to fusion was six months and the postoperative AOFAS score improved from 41 points pre-operatively to 63 points postoperatively, which are comparable to those observed in other studies (3)(4)(5)(6)8,(15)(16)(17)(18)(19)(20) . We believe that the high union rate was due a precise surgical technique, the enhance compression that the system provides, the use of fibular grafting combined with a strong locking plate construct…”

Section: Discussionsupporting

confidence: 88%

“…Combined disease of the hindfoot and ankle joints is commonly seen in patients with diabetic Charcot neuroarthropathy, neuromuscular disease, post-traumatic arthritis, talar osteonecrosis, and inflammatory arthritis (1) . The orthopaedic treatment of ankle and subtalar joint disease for which conservative management has failed includes combined tibiotalocalcaneal (TTC) arthrodesis, fusion of the subtalar joint with replacement of the ankle, or joint distraction of the ankle joint with subtalar joint arthrodesis (1)(2)(3)(4) . TTC arthrodesis was first described in 1906 (reported by Mendicino) (5) and continues to be a powerful option in dealing with complex deformities and revisions surgeries and is currently the standard of care for this condition (5,6) .…”

Section: Introductionmentioning

confidence: 99%

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Tibiotalocalcaneal Arthrodesis with lateral compression Plate

Coughlin¹,

Nery²,

Baumfeld³

et al. 2012

Rev. bras. ortop.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Tibiotalocalcaneal Arthrodesis with lateral compression Plate

Coughlin¹,

Nery²,

Baumfeld³

et al. 2012

Rev. bras. ortop.

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“…Intramedullary retrograde nailing has also been described as a rigid method for ankle arthrodesis, especially in diabetic cases [18].…”

Section: Discussionmentioning

confidence: 99%

Technique and short-term results of ankle arthrodesis using anterior plating

Mohamedean

Said

El-Sharkawi

et al. 2009

International Orthopaedics (SICOT)

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Clinical and biomechanical trials have shown that rigid internal fixation during ankle arthrodesis leads to increased rates of union and is associated with a reduced infection rate, union time, discomfort and earlier mobilisation compared with other methods. We describe our technique of ankle arthrodesis using anterior plating with a narrow dynamic compression plate (DCP). Between 2004 and 2007, 29 patients with a mean age of 24.4 years (range 18-42) had ankle arthrodesis using an anteriorly placed narrow DCP. Twenty-two patients were post-traumatic and seven were paralytic (five after spine fracture and two after common peroneal nerve injury). Follow-up was between 12 and 18 months (average 14 months). A rate of fusion of 100% was achieved at an average of 12.2 weeks. According to the Mazur ankle score, 65.5% had excellent, 20.7% good and 13.8% fair results. Ankle arthrodesis using an anteriorly placed narrow DCP is a good method to achieve ankle fusion in many types of ankle arthropathies.

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“…Techniques of internal and external fixation have been reported with varying degrees of success [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] . The outcomes of intramedullary rodding, a common alternative to pantalar arthrodesis with plating, have often been reported in the literature.…”

Section: Surgical Optionsmentioning

confidence: 99%

Anterior ankle arthrodesis

Slater¹

2014

WJO

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Ankle arthrodesis is a common procedure that resolves many conditions of the foot and ankle; however, complications following this procedure are often reported and vary depending on the fixation technique. Various techniques have been described in the attempt to achieve ankle arthrodesis and there is much debate as to the efficiency of each one. This study aims to evaluate the efficiency of anterior plating in ankle arthrodesis using customised and Synthes TomoFix plates. We present the outcomes of 28 ankle arthrodeses between 2005 and 2012, specifically examining rate of union, patient-reported outcomes scores, and complications. All 28 patients achieved radiographic union at an average of 36 wk; the majority of patients (92.86%) at or before 16 wk, the exceptions being two patients with Charcot joints who were noted to have bony union at a three year review. Patient-reported outcomes scores significantly increased (P < 0.05). Complications included two delayed unions as previously mentioned, infection, and extended postoperative pain. With multiple points for fixation and coaxial screw entry points, the contoured customised plate offers added compression and provides a rigid fixation for arthrodesis stabilization.© 2014 Baishideng Publishing Group Co., Limited. All rights reserved.Key words: Ankle arthrodesis; Customised plate; Anterior plate; Fusion; Synthes plate Core tip: Ankle arthrodesis is a common procedure that resolves many conditions of the foot and ankle; however, complications are common. Complications vary with the technique described and there is not much agreement on the most advantageous method. This study evaluates the efficiency of anterior plating in ankle arthrodesis using customised and Synthes TomoFix plates. We present the outcomes of 28 ankle arthrodeses performed by a single orthopedic surgeon between 2005 and 2012, specifically examining rate of union, patient-reported outcomes scores, and complications. Contoured customised plates offer added compression and provide a rigid fixation for arthrodesis stabilization with few complications.

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Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing

Cited by 144 publications

References 9 publications

Tibiotalocalcaneal Arthrodesis with lateral compression Plate

Tibiotalocalcaneal Arthrodesis with lateral compression Plate

Technique and short-term results of ankle arthrodesis using anterior plating

Anterior ankle arthrodesis

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