Article
Orthopedics
Adolfo Perez-Aznar, Blanca Gonzalez-Navarro, Laiz L. Bello-Tejeda, Carolina Alonso-Montero, Alejandro Lizaur-Utrilla, Fernando A. Lopez-Prats
Summary: The study found that tibiotalocalcaneal (TTC) arthrodesis using a contemporary retrograde intramedullary nail led to significantly improved functional outcomes and reduced pain for patients, with high satisfaction rates and successful return to work for most patients.
INTERNATIONAL ORTHOPAEDICS
(2021)
Article
Orthopedics
Michael D. Dujela, Gregory C. Berlet, Brian E. Houng, Christopher F. Hyer
Summary: This study compares the union rate of the ankle joint in proximal static versus dynamically locked retrograde intramedullary nail fixation for tibiotalocalcaneal arthrodesis. The results show that the dynamically locked group had a slightly higher union rate, but it was not statistically significant.
JOURNAL OF FOOT & ANKLE SURGERY
(2023)
Article
Medicine, General & Internal
Magalie Meinert, Christian Colcuc, Eva Herrmann, Johannes Harbering, Yves Gramlich, Marc Blank, Reinhard Hoffmann, Sebastian Fischer
Summary: Joint destruction necessitates tibiotalocalcaneal arthrodesis (TTCA) in cases of clinical deficits that cannot be controlled conservatively, possibly leading to sepsis. We aimed to compare the underlying etiology of posttraumatic joint destruction and the outcomes after TTCA in patients with a septic or aseptic history. The significantly worse results of S-TTCA compared to A-TTCA show the long and stressful ordeal that patients with a septic history suffer. Further attention must be paid to infection prophylaxis and, if necessary, early infection revision.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Thiru Karthikeyan Ramu, Mohd Yazid Bajuri, Muhammad Fathi Hayyun, Norliyana Mazli
Summary: This study showed successful treatment outcomes of traumatic AVN of talus using hindfoot ankle arthrodesis with the combination of hindfoot arthrodesis nail, screw fixation, and femoral head allograft. Patients experienced significant pain relief and improved function postoperatively, with satisfactory fusion achieved within 3 months and good physical function and hindfoot scores at the 2-year follow-up.
FRONTIERS IN SURGERY
(2021)
Article
Surgery
Mohd Yazid Bajuri, Ammar Muizuddin Manas, Kamarul Syarazi Zamri
Summary: This study evaluates the functional outcomes of patients with Charcot's arthropathy after hindfoot fusion using a hindfoot arthrodesis nail. The results show improved functional scores and an acceptable fusion time and complication rate.
FRONTIERS IN SURGERY
(2023)
Article
Medicine, General & Internal
Ashwin Bhadresha, Baljinder S. Dhinsa
Summary: Patients with Charcot-Marie-Tooth disease who undergo tibiotalocalcaneal arthrodesis with retrograde hindfoot nailing have a higher rate of periprosthetic fractures, suggesting that CMT is a significant risk factor.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Orthopedics
Wonseok Choi, Kyeong-Hyeon Park, Chang-Wug Oh, Joon-Woo Kim, Whee Sung Son, Jae-Woo Cho, Sharkawy Wagih Abdel-Baki, Jong-Keon Oh
Summary: This study suggests that staged TTC arthrodesis with induced membrane technique and intramedullary nail can be an effective treatment option for critical-sized bone defects involving the ankle joints. Most patients achieved primary healing, but a small number required additional bone grafting and fixation. The average time to union and leg length discrepancy were within an acceptable range, and the functional assessment scores were relatively high.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Rajiv Shah, Nikku Mathew Geevarughese, Shivam Shah
Summary: This study describes a simple technique of utilizing autologous fibula to bridge large bone defects between the tibia and calcaneus during tibiotalocalcaneal fusion, providing advantages such as the generation of compression at the fusion site through an indigenously designed nail and keeping grafts bonded like in a bamboo hut.
TECHNIQUES IN FOOT AND ANKLE SURGERY
(2021)
Article
Orthopedics
Abdul-Rasheed Rabiu, Jean-Pierre St Mart, Ines L. H. Reichert, Raju Ahluwalia
Summary: This study reports the early outcomes of a sliding oblique hindfoot osteotomy combined with tibiotalar arthrodesis for severe talus body defects. All patients achieved fusion and ambulation at 6 months, with an average improvement of 28.9 points in AOFAS score at 1 year.
JOURNAL OF FOOT & ANKLE SURGERY
(2021)
Article
Orthopedics
Lorena Bejarano-Pineda, Akhil Sharma, Samuel B. Adams, Selene G. Parekh
Summary: Tibiotalocalcaneal arthrodesis using customized titanium cages for patients with large bone defects has shown a high rate of union in those at risk of nonunion. However, further research with larger series is needed.
FOOT & ANKLE SPECIALIST
(2021)
Article
Orthopedics
Abhinav Agarwal, Neha Singh, Nicholas A. Andrews, Sean Young, Christine S. Scott, Roshan A. Jacob, Zachary Littlefield, Ashish Shah
Summary: Managing infected primary tibiotalocalcaneal arthrodesis (TTCA) is challenging for foot and ankle surgeons. Antibiotic bone cement nails have been effective in treating intramedullary infections like infected TTCA, as they release high amounts of antibiotics and provide some stability to the bone. However, the lack of commercially available antibiotic impregnated nails and the rarity of these cases make execution of this technique difficult. Nonetheless, presenting a modified technique for employing an antibiotic spacer nail, this case study provides valuable guidance for surgeons performing these clinically challenging revisions.
TECHNIQUES IN FOOT AND ANKLE SURGERY
(2023)
Article
Multidisciplinary Sciences
Jingshu Fu, Xiaohua Wang, Shulin Wang, Zenggang Chen, Jie Shen, Zhengyun Li, Zhao Xie
Summary: This study used the induced membrane two-stage technique to treat infected ankle bone defects. A retrograde intramedullary nail was used to fuse the ankle in the second stage, and the clinical effect was observed. The results showed that the induced membrane technique combined with a retrograde intramedullary nail is an effective treatment method for infected bone defects of the ankle.
SCIENTIFIC REPORTS
(2023)
Article
Orthopedics
Alain E. Sherman, Mitesh P. Mehta, Rusheel Nayak, Muhammad Y. Mutawakkil, Jason H. Ko, Milap S. Patel, Anish R. Kadakia
Summary: The bone block tibiotalocalcaneal (TTC) arthrodesis, augmented with osteoinductive agents and protected weightbearing, showed excellent fusion rates, modest pain, and preserved lower extremity function for most patients. The use of a vascularized medial femoral condyle (MFC) free flap seemed to enhance and expedite osseous healing.
FOOT & ANKLE INTERNATIONAL
(2022)
Article
Surgery
Matthew Sankey, Thomas Sanchez, Sean M. Young, Chad B. Willis, Alex Harrelson, Ashish B. Shah
Summary: This article describes a new technique for tibiotalocalcaneal arthrodesis using a fibular strut autograft. The surgical method achieves a fusion rate of approximately 80% and provides a viable surgical option for patients with complex hindfoot pathologies or fusion failure.
JBJS ESSENTIAL SURGICAL TECHNIQUES
(2023)
Article
Orthopedics
Min Gyu Kyung, Il-Ung Hwang, Changhyon Lee, Gil Young Park, Dong Yeon Lee
Summary: This study evaluated the fusion rate, functional outcomes, and complications of tibiotalocalcaneal arthrodesis using retrograde intramedullary nailing with partial fibulectomy and onlay bone graft technique. The results showed a high fusion rate and improved functional outcomes, with only a few minor complications.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2023)