Tibiotalocalcaneal (Hindfoot) Arthrodesis by Retrograde Intramedullary Nailing Using a Curved Locking Nail. The Results of 52 Procedures

Hammett, R.; Hepple, S.; Forster, B.; Winson, Ian

doi:10.1177/107110070502601004

Cited by 120 publications

(112 citation statements)

References 15 publications

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“…We had no instances of tibial fracture, although this is a recognized complication. 10,21 Damage to the lateral plantar and calcaneal nerve upon plantar incision and nail insertion is possible, although incidence is rare. 9,18,21,27 We had no occurrences of plantar or calcaneal nerve damage in our study.…”

Section: Resultsmentioning

confidence: 99%

Retrograde Intramedullary Tibiotalocalcaneal (Hindfoot) Arthrodesis With Concomitant Midfoot and Forefoot Corrections

Jorgensen

Lutz

2015

Techniques in Foot &Amp; Ankle Surgery

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Tibiotalocalcaneal arthrodesis is a salvage procedure. We report on the operative technique, the importance of addressing concomitant ankle and foot deformities when present and the outcomes (radiologic fusion rate, limb salvage rate, and global patient satisfaction) with a hindfoot arthrodesis nail. It was used for tibiotalocalcaneal arthrodesis on 63 consecutive patients (6 bilateral procedures). The minimum follow-up was 12 months; the mean age was 59 (range, 24 to 87) years, with 69% male. At 3 months, the fusion rate was 77.7% (49/63); 6-month fusion rate was 95% (60/63). The overall complication rate was 12.6% (8/63). There was a 100% limb salvage rate. Fifty-seven concomitant procedures were performed on 38 patients at time of nail insertion.

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Section: Resultsmentioning

confidence: 99%

Retrograde Intramedullary Tibiotalocalcaneal (Hindfoot) Arthrodesis With Concomitant Midfoot and Forefoot Corrections

Jorgensen

Lutz

2015

Techniques in Foot &Amp; Ankle Surgery

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“…Benzer olarak Hammett ve ark. [14] %88 kaynama ve %28 komplikasyon oranı, Niinimäki ve ark. [15] %76 kaynama ve %15 komplikasyon oranı olduğunu gösteren çalış-malar yayınladılar.…”

Section: Discussionunclassified

Ankle and Subtalar Joint Arthrodesis with Retrograde Intramedullary Nail

Kurtulmuş¹,

Kibar²,

Sağlam³

et al. 2013

J Kartal TR

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ÖzetAmaç: Ayak bileği artrodezi ayak bileğinin belirli patolojik koşullarının tedavisinde yerleşik bir tedavi seçeneğidir. Endikasyonlar yıllar içinde genişlese de temel prensipler aynı kalmıştır; deformitenin düzeltilmesi, ağrının hafifletilmesi ve stabilitenin sağlanmasıdır. Biz bu çalışmada retrograd intramedüller çivi ile tibiotalokalkaneal artrodez yaptığımız hastalardaki sonuçları değerlendirdik. Gereç ve Yöntem:Ocak 2007-Ocak 2012 tarihleri arasında retrograd intramedüller çivi ile tibiotalokalkaneal artrodez uygulanan yedi hasta (2 erkek, 5 kadın; ort. yaş 56.5±7.7; dağılım 13-67 yıl) geriye dönük olarak değerlendirildi. Hastaların etiyolojisine baktığımızda travma sonrası artroz %42.8 (n=3), diyabetik nöroartropati %14.2 (n=1), düşük ayak %14.2 (n=1), poliomiyelit zemininde bimalleolar kırık sonrası artroz %14.2 (n=1), doğuştan duyarsızlık sendromu zemininde kalkaneus apofiz avülsiyonuna sekonder Charcot eklemi %14.2 (n=1), pes ekino varus sekeli %14.2 (n=1) hastada mevcuttu. Bütün hastalarda titanyum retrograd intramedüller çivi kullanıldı. Bulgular: Bütün hastalarda ortalama 13±4.24 (dağılım 10-16) haftada kaynama elde edildi. Yara komplikasyonu, enfeksiyon, implant yetmezliği görülmedi. Ameliyat öncesi 18±2.1 (dağılım, 4-32) olan AOFAS skoru ameliyat sonrası 58±1.8 (dağılım, 46-72) olarak belirlendi. Sonuç:İntramedüller çivi diğer implantlarla karşılaştırıldı-ğında yüksek eğilme direnci, artmış rotasyonel stabilite, dinamik kompresyon kapasitesi sağlar. Bu çalışmada nispeten hasta sayısı az olmasına rağmen; retrograd intramedüller çiviyle ayak bileği artrodezi, yüksek kaynama oranlarıyla, iyi fonksiyonel sonuç elde etmek için güvenilir bir yöntemdir.

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“…Since then, various nails not originally designed for TTC fusion, such as tibial nails, have been used. Examples include the proximal humeral nails used by Hammet et al, 8 and femoral nails, which were used by Pinzur and Kelikian. 9 Today, several medical device companies offer numerous nails designed specifically for TTC fusion, and there is no longer a need to modify intramedullary devices for use in TTC fusion.…”

Section: Historical Perspectivementioning

confidence: 99%

Tibiotalocalcaneal Nailing: Indications and Technique

Kou

Weinfeld

2009

Techniques in Foot &Amp; Ankle Surgery

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Tibiotalocalcaneal fusion is a salvage procedure for severe arthrosis and deformity of both the tibiotalar and subtalar joints. The use of an intramedullary nail for this procedure has the advantages of providing immediate rigid internal fixation and compression at the fusion site, and offers load-sharing capacity. Tibiotalocalcaneal nailing can be used to reduce pain and improve function in patients with posttraumatic arthrosis, avascular necrosis, neuropathic arthropathy, and neuromuscular disease, and in revision situations such as nonunion and failed total ankle arthroplasty. Despite this, tibiotalacalcaneal fusion has limited indications as a result of the morbidity associated with having fused subtalars and tibiotalar joints. Results with this procedure are more often considered satisfactory rather than excellent, and it should be considered an alternative to amputation. The history, indications, contraindications, technique, and results of tibiotalocalcaneal nailing are discussed.

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Tibiotalocalcaneal (Hindfoot) Arthrodesis by Retrograde Intramedullary Nailing Using a Curved Locking Nail. The Results of 52 Procedures

Abstract: Hindfoot arthrodesis with intramedullary nailing is an effective technique for treating complex foot deformities and often is the only alternative to amputation. Patient satisfaction is high, but the procedure is demanding and complications are frequent.

Cited by 120 publications

References 15 publications

Retrograde Intramedullary Tibiotalocalcaneal (Hindfoot) Arthrodesis With Concomitant Midfoot and Forefoot Corrections

Retrograde Intramedullary Tibiotalocalcaneal (Hindfoot) Arthrodesis With Concomitant Midfoot and Forefoot Corrections

Ankle and Subtalar Joint Arthrodesis with Retrograde Intramedullary Nail

Tibiotalocalcaneal Nailing: Indications and Technique

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