Unlabelled: Tibiotalocalcaneal arthrodesis with an intramedullary nail is a procedure reserved for patients who have conditions affecting the ankle joint and subtalar joint. The most common complications include nonunion, malunion, delayed union, infection, periprosthetic fracture, hardware failure, lateral plantar nerve injury, and wound healing. Significant bone void may result if the hardware requires removal secondary to one of these complications. The purpose of this article is to report on 2 cases of infected intramedullary nails, which were revised with fibular inlay strut grafts. Both cases were augmented with either internal or external fixation.
Levels Of Evidence: Therapeutic, Level IV: Case report.
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http://dx.doi.org/10.1177/1938640016640888 | DOI Listing |
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 PDFClin 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 PDFJ 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 PDFFoot Ankle Int
December 2024
Department of Orthopedic Surgery, Ambroise Paré Hospital, Boulogne-Billancourt, France.
Cureus
September 2024
Department of Orthopedics, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Ankle dislocations, particularly those that are old and neglected, pose significant challenges in orthopedic management due to the development of arthritic changes and surgical difficulties of reduction. The optimal treatment often involves stabilization and realignment to ensure proper healing. The closed reduction is rarely achieved in old neglected dislocations.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!