Arthroscopic Tibiotalocalcaneal Arthrodesis with Locked Retrograde Compression Nail

Abstract Tibiotalocalcaneal (TTC) arthrodesis is a demanding procedure. Several techniques have been described for successful fusion, including the use of plates, screws, intramedullary nails, and external fixators. Arthroscopic TTC fusion with intramedullary nailing has been recently described as a...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery 2013-07, Vol.52 (4), p.523-528
Main Authors: Vilà y Rico, Jesus, MD, Rodriguez-Martin, Juan, MD, Parra-Sanchez, Guillermo, MD, Marti Lopez-Amor, Carlos, MD
Format: Article
Language:English
Subjects:
Adult
ankle
Ankle Joint - surgery
Arthritis - surgery
Arthrodesis - instrumentation
Arthroscopy - methods
Bone Nails
calcaneus
Female
fibula
Humans
intramedullary nail
Male
Middle Aged
Orthopedics
Prosthesis Design
surgery
talus
tibia
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Description
Summary:Abstract Tibiotalocalcaneal (TTC) arthrodesis is a demanding procedure. Several techniques have been described for successful fusion, including the use of plates, screws, intramedullary nails, and external fixators. Arthroscopic TTC fusion with intramedullary nailing has been recently described as an alternative method to traditional open procedures. The surgical technique and clinical and radiographic outcomes of 2 patients who had undergone arthroscopic TTC arthrodesis with intramedullary nailing are presented. The indication for surgery was symptomatic tibiotalar and subtalar post-traumatic arthritis in 1 patient and distal tibia and fibula nonunion in the other. In both cases, fusion was obtained at approximately 8 weeks postoperatively. At the final follow-up visit at 2 years postoperatively, their American Orthopaedic Foot and Ankle Society score had improved from 31 to 85 points and from 16 to 71 points, respectively. No intra- or postoperative complications developed. Arthroscopic TTC arthrodesis can be an alternative to traditional open procedures, especially in patients with soft tissue concerns or several previous surgeries. Experience with ankle arthroscopy procedures is mandatory to obtain satisfactory results and minimize the risk of complications.
ISSN:1067-2516
1542-2224
DOI:10.1053/j.jfas.2013.03.015