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Evaluation of three fixation methods in tibiotalocalcaneal fusion for chronic osteomyelitis following ankle fracture.
J Clin Orthop Trauma
February 2025
Instituto de Ortopedia y Trauma Dr. Jaime Slullitel, San LUIS 2534 2000, Rosario, Santa Fe, Argentina.
Introduction: In the scenario of chronic osteomyelitis following an ankle fracture, limb salvage and ideally infection eradication, can be an alternative to amputation.Tibiotalocalcaneal arthrodesis is perhaps the most popular procedure. When performing fusion in osteomyelitis patients, external fixation is more commonly used, although there is some experience with internal fixation.
View Article and Find Full Text PDFReconstruction of Bilateral Hindfoot Open Fracture Using the Femoral Head Allograft: A Three-Year Follow-Up Case Report.
Cureus
November 2024
Orthopedic Surgery Department, King Fahad Medical City, Riyadh, SAU.
This case report presents a three-year follow-up of a young male with bilateral hindfoot fractures due to a high-energy road traffic accident, resulting in a comminuted open calcaneal fracture on the left and an open fracture-dislocation of the right talus. Staged reconstruction was performed, including initial debridement, temporary cement spacers, and subsequent fixation with femoral head allografts (FHAs). The right foot underwent a tibiotalocalcaneal (TTC) fusion, and the left foot received a double arthrodesis.
View Article and Find Full Text PDFMinimal Incision Management of Rearfoot & Ankle Trauma.
Clin Podiatr Med Surg
January 2025
Dallas Orthopedic and Shoulder Institute, 222 South Collins Road Suite 101, Sunnyvale, TX 75182, USA. Electronic address:
Minimally invasive surgery is gaining tremendous popularity in reconstructive foot and ankle surgery, as well as with trauma. Minimally invasive approaches have demonstrated equivalent to outcomes to traditional open incisional approaches with the added benefit of less risk for wound healing complications and surgical site infections. Advances in orthopedic hardware and surgical techniques are allowing minimal incision surgery for trauma to become more widespread.
View Article and Find Full Text PDFSubtalar joint involvement with tibiotalocalcaneal intramedullary nail arthrodesis.
J Foot Ankle Surg
October 2024
Apex Orthopedics Inc, Aurora, CO, United States.
Tibiotalocalcaneal (TTC) fusion with an intramedullary nail (IMN) has been utilized for a myriad of indications in hindfoot and ankle reconstruction. However, some controversies remain on the optimal position of the hindfoot. Previous studies have reported on the potential medialization of the rearfoot during insertion of the IMN, but few studies have examined the potential affect on the subtalar joint.
View Article and Find Full Text PDFOne-Stage Tibiotalocalcaneal Arthrodesis for Severe Septic Destruction of the Ankle Joint Using a Retrograde Intramedullary Nail: A Retrospective Cross-sectional Study.
Foot Ankle Int
December 2024
Department of Orthopedic Surgery, Ambroise Paré Hospital, Boulogne-Billancourt, France.
Article Synopsis
- * A total of 25 patients were analyzed, showing a 24% rate of reinfection and an 83% fusion success rate over an average follow-up of 42 months.
- * The results suggest that this one-stage procedure could be a viable treatment option, offering a balance of effective infection control and functional improvement compared to traditional methods.
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