ANKLE ARTHRODESIS WITH INTRAMEDULLARY RETROGRADE NAIL FOR BONE TUMORS. PRELIMINARY RESULTS AND SURGICAL TECHNIQUE

• Published in: Acta ortopedica brasileira 2023-01, Vol.31 (spe2), p.e264305-e264305
• Main Authors: Casanova, José Manuel, Freitas, João Paulo, Fonseca, Ruben Lopes, Tavares, Paulo, Moura, Diogo Lino
• Format: Article
• Language: English
• Subjects: Ankle; Foot and Ankle; Giant cell tumors; Intramedullary nailing; Neoplasms, bone tissue; Original; ORTHOPEDICS; Osteosarcoma; Tumors
• ISSN: 1413-7852; 1809-4406; 1809-4406
• DOI: 10.1590/1413-785220233102e264305

Present the preliminary results of a case series using the surgical ankle arthrodesis technique with an intramedullary retrograde nail for bone tumors. We present the preliminary data of 4 patients, 3 males and 1 female, with a mean age of 46,2 (range 32 to 58) years, with histology proven Giant Cell Tumour of bone in 3 and osteosarcoma in 1. The mean resection length of distal tibia was 11,75 (range 9 to 16) cm, and all the patients underwent reconstruction with a tibiotalocalcaneal arthrodesis with an intercalary allograft fixed by a retrograde intramedullary nail. Oncological follow-up evolved without evidence of local recurrence or disease progression in all patients. After a mean time of 69.5 (range 32 to 98 months), patients had a mean MSTS12 functional score of 82.5% (range 75 to 90). All tibial arthrodesis and diaphyseal osteotomy sites were fused within 6 months with a return to activities without complications related to coverage skin or infection. No complications were recorded; all arthrodesis and diaphysial tibial osteotomy sites fused by 6 months, and the mean follow-up of those patients was 69,5 (range 32 to 988) months, with a mean functional MSTS score of 82,5% (range 75-90). Level of Evidence: IV; Retrospective Case Series.