Posterolateral plate fixation with Pantalarlock® is more stable than nail fixation in tibiotalocalcaneal arthrodesis in a biomechanical cadaver study

Gutteck, Natalia; Schilde, Sebastian; Reichel, Martin; Holtz, A.; Sahmel, Olga; Hinz, Peter; Kielstein, Heike; Lange, Jörn; Delank, K.-S.; Martin, H.

doi:10.1016/j.fas.2019.04.006

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…This result can be explained by the additional augmentation screw from the talus to the tibia used by O’Neill et al [ 11 ]. In fresh-frozen cadavers, Gutteck et al studied a posterolateral plate for tibiotalocalcaneal arthrodesis and detected greater stiffness in comparison with a nail [ 13 ]. The reason for this result might be the posterolateral position of the plate investigated by Gutteck et al [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…In fresh-frozen cadavers, Gutteck et al studied a posterolateral plate for tibiotalocalcaneal arthrodesis and detected greater stiffness in comparison with a nail [ 13 ]. The reason for this result might be the posterolateral position of the plate investigated by Gutteck et al [ 13 ]. In the present study, a low level of stiffness in the tibiotalocalcaneal arthrodesis was observed with the bone stabilization system.…”

Section: Discussionmentioning

confidence: 99%

“…A similar result was reported by Klos et al for tibiotalocalcaneal arthrodesis with a nail in fresh-frozen cadavers [ 21 ]. Gutteck et al observed a linear relationship between stiffness and bone mineral density for tibiotalocalcaneal arthrodesis with a posterolateral plate in fresh-frozen cadavers [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…Previous biomechanical studies have compared a retrograde nail with different plates (lateral blade plate, lateral locking plate, lateral locking plate with an augmentation screw, posterolateral locking plate) for tibiotalocalcaneal arthrodesis in fresh-frozen cadavers [ 9 – 13 ]. Some of these studies reported greater stability for a plate, while other studies did not observe any difference in stability between nail and plate for tibiotalocalcaneal arthrodesis [ 9 – 13 ]. A few published biomechanical studies have compared a retrograde nail with different screw constructs for tibiotalocalcaneal arthrodesis [ 14 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver study

Trost,

Yarkin,

Knieps

et al. 2023

J Orthop Surg Res

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Background Various fixation methods are available for tibiotalocalcaneal arthrodesis: nail, plate, or screws. An intramedullary bone stabilization system within a balloon catheter has not previously been used in tibiotalocalcaneal arthrodesis. The aim of this study was to compare the stability of these techniques. Methods Twenty-four lower legs from fresh-frozen human cadavers were used. Tibiotalocalcaneal arthrodesis was performed with a retrograde nail, a lateral locking plate, three cancellous screws, or an intramedullary bone stabilization system. The ankles were loaded cyclically in plantarflexion and dorsiflexion. Results For cyclic loading at 125 N, the mean range of motion was 1.7 mm for nail, 2.2 mm for plate, 6.0 mm for screws, and 9.0 mm for the bone stabilization system (P < .01). For cyclic loading at 250 N, the mean range of motion was 4.4 mm for nail, 7.5 mm for plate, 12.1 mm for screws, and 14.6 mm for the bone stabilization system (P < .01). The mean cycle of failure was 4191 for nail, 3553 for plate, 3725 for screws, and 2132 for the bone stabilization system (P = .10). Conclusions The stability of the tibiotalocalcaneal arthrodesis differs depending on the fixation method, with nail or plate showing the greatest stability and the bone stabilization system the least. When three screws are used for tibiotalocalcaneal arthrodesis, the stability is intermediate. As the biomechanical stability of the bone stabilization system is low, it cannot be recommended for tibiotalocalcaneal arthrodesis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Biomechanical comparison of different fixation methods in tibiotalocalcaneal arthrodesis: a cadaver study

Trost,

Yarkin,

Knieps

et al. 2023

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…Winkelstabile Plattensysteme können entweder von lateral oder dorsal eingebracht werden. Vorteile bieten hier die dorsalen Plattenlagen aufgrund der hohen biomechanischen Stabilität in Kombination mit der guten Weichteildeckung im Rückfußbereich [30,31].…”

Section: Tibiotalokalkaneare Arthrodeseunclassified