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Intramedullary Nail Fixation for Tibiotalocalcaneal Arthrodesis

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International Advances in Foot and Ankle Surgery

Abstract

Tibiotalocalcaneal arthrodesis is used to treat severe arthrosis, deformity, and malalignment of the hindfoot and ankle. This may be accomplished by the utilization of crossed lag screws, plates, external fixation, or an intramedullary nail.1 With a tibiotalocalcaneal arthrodesis, the goal is to create a solid fusion that corrects the deformity, maintains anatomic alignment, and allows the patient to function independently while relieving pain and providing a plantigrade foot and ankle that is shoeable or braceable.2 Often the severity of the deformity affects not only the ankle but also the subtalar joint, thereby warranting fusion of both joints.

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References

  1. Myerson MS, Alvarez RG, Lam PW. Tibiocalcaneal arthrodesis for the management of severe ankle and hindfoot deformities. Foot Ankle Int. 2000;21:643-650.

    PubMed  CAS  Google Scholar 

  2. DiDomenico LA, Adams HB. Intramedullary nailing for “Charcot” arthropathy of the hindfoot and ankle. In: Chang TJ, ed. Master Techniques in Podiatric Surgery. Philadelphia: Lippincott Williams & Wilkins; 2005:427-443.

    Google Scholar 

  3. Lexer E. Die verwedung der frein knockenplastik nebst versuchen uber gelenkversteifung und gelentransplanten. Langenbecks Arch Chir. 1906;86:938-942.

    Google Scholar 

  4. Mendencino RW, Catanzariti AR, Saltrick KR, et al. Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing. J Foot Ankle Surg. 2004;43(2):82-86.

    Article  Google Scholar 

  5. Albee FH. Bone Graft Surgery. Philadelphia: Saunders; 1915:335.

    Google Scholar 

  6. Roukis TS. Determining the insertion site for retrograde intramedullary nail fixation of tibiotalocalcaneal arthrodesis: a radiographic and intraoperative anatomical landmark analysis. J Foot Ankle Surg. 2006;45(4):227-234.

    Article  PubMed  Google Scholar 

  7. Bingold AC. Ankle and subtalar fusion by a transarticular graft. J Bone Joint Surg. 1956;38:862-870.

    Google Scholar 

  8. Adams JC. Arthrodesis of the ankle joint: experience with the transfibular approach. J Bone Joint Surg. 1948;30:506-511.

    Google Scholar 

  9. Carriar DA, Harris CM. Ankle arthrodesis with vertical Steinmann’s pins in rheumatoid arthritis. Clin Orthop Relat Res. 1991;268:10-14.

    Google Scholar 

  10. Buratti RA, Johnson JD, Buratti D. Concurrent ankle and subtalar joint arthrodesis. J Foot Ankle Surg. 1994;33:278-282.

    PubMed  CAS  Google Scholar 

  11. Kile TA, Donnelly RE, Gehrke JC, Werner ME, Johnson KA. Tibiotalocalcaneal arthrodesis with an intramedullary device. Foot Ankle Int. 1994;15:669-673.

    PubMed  CAS  Google Scholar 

  12. Johnson KA. Tibiotalocalcaneal arthrodesis. In: Johnson KA, ed. Master Techniques in Orthopedic Surgery: The Foot and Ankle. Philadelphia: Lippincott; 1994:483-496.

    Google Scholar 

  13. Quill GE. Tibiotalocalcaneal and pantalar arthrodesis. Foot Ankle Clin. 1996;1:199-209.

    Google Scholar 

  14. Quill GE. Tibiotalocalcaneal arthrodesis. Tech Orthop. 1996;11:269-273.

    Article  Google Scholar 

  15. Quill GE. The use of a second generation intramedullary nail in the fixation of difficult ankle and hindfoot arthrodesis. Am J Orthop. 1999;1:23-31.

    Google Scholar 

  16. Quill GE. Tibiotalocalcaneal arthrodesis with medullary rod fixation. Tech Foot Ankle Surg. 2003;2:135-143.

    Article  Google Scholar 

  17. Mader J, Penning D, Gausepohl T, Patsalis U. Calcaneotibial arthrodesis with a retrograde posterior to anterior locked nail as a salvage procedure for severe ankle pathology. J Bone Joint Surg. 2003;85:123-128.

    Article  PubMed  Google Scholar 

  18. Farber DC, DeOrio JK. Tibiotalocalcaneal fusion with a second generation intramedullary device. Presentation at: American Orthopedic Foot and Ankle Society Annual Summer Meeting; June 27, 2003; Hilton Head.

    Google Scholar 

  19. Mann MR, Parks BG, Pak SS, Miller SD. Tibiotalocalcaneal arthrodesis: a biomechanical analysis of the rotational stability of the Biomet ankle arthrodesis nail. Foot Ankle Int. 2001;22:731-733.

    PubMed  CAS  Google Scholar 

  20. Means KR, Parks BG, Nguyen A, Schon LC. Intramedullary nail fixation with posterior to anterior compared to transverse distal screw placement for tibiotalocalcaneal arthrodesis: a biomechanical investigation. Foot Ankle Int. 2006;27(12):1137-1142.

    PubMed  Google Scholar 

  21. Niinimaki TT, Klemola TM, Leppilahti JI. Tibiotalocalcaneal arthrodesis with a compression retrograde intramedullary nail: a report of 34 consecutive patients. Foot Ankle Int. 2007;28(4):431-434.

    Article  PubMed  Google Scholar 

  22. Pinzur MS, Kelikian A. Charcot ankle fusion with a retrograde locked intramedullary nail. Foot Ankle Int. 1997;18:699-704.

    PubMed  CAS  Google Scholar 

  23. Thomason K, Eyres KS. A technique of fusion for failed total replacement of the ankle: tibio-allograft-calcaneal fusion with a locked retrograde intramedullary nail. J Bone Joint Surg Br. 2008;90(7):885-888.

    Article  PubMed  CAS  Google Scholar 

  24. Bailey CC, Root HF. Neuropathic foot lesions in diabetes. N Engl J Med. 1947;236:397-401.

    Article  Google Scholar 

  25. Fox IM, Shapero C, Kennedy A. Tibiotalocalcaneal arthrodesis with intramedullary interlocking nail fixation. Clin Podiatr Med Surg. 2000;17:19-31.

    PubMed  CAS  Google Scholar 

  26. Muckley T, Eichhorn S, Hoffmeier K, et al. Biomechanical evaluation of primary stiffness of tibiotalocalcaneal fusion with intramedullary nails. Foot Ankle Int. 2007;28:224-231.

    Article  PubMed  Google Scholar 

  27. Moore TJ, Prince R, Pecatko D, Smith JW, Fleming S. Retrograde intramedullary nailing for ankle arthrodesis. Foot Ankle Int. 1995;16:433-436.

    PubMed  CAS  Google Scholar 

  28. Mendencino RW, Catanzariti AR, Lamm BM, Statler TK. Realignment arthrodesis of the ankle. Posterpresented at: The American College of Foot and Ankle Surgeons National Meeting; February 7-11, 2001; New Orleans.

    Google Scholar 

  29. Berend ME, Glisson RR, Nunley JA. A biomechanical comparison of intramedullary nail and crossed lag screw fixation for tibiotalocalcaneal arthrodesis. Foot Ankle Int. 1997;18:639-664.

    PubMed  CAS  Google Scholar 

  30. Stone KH, Helal B. A method of ankle stabilization. Clin Orthop Relat Res. 1991;268:102-106.

    PubMed  Google Scholar 

  31. Pelton K, Hofer JK, Thordarson DB. Tibiotalocalcaneal arthrodesis using a dynamically locked retrograde intramedullary nail. Foot Ankle Int. 2006;27(10):759-763.

    PubMed  Google Scholar 

  32. Santangelo JR, Glisson RR, Garras DN, Easly ME. Tibiotalocalcaneal arthrodesis: a biomechanical comparison of multiplanar external fixation with intramedullary fixation. Foot Ankle Int. 2008;29(9):936-941.

    Article  PubMed  Google Scholar 

  33. De Smet K, DeBrauwer V, Burssens P, et al. Tibiotalocalcaneal Marchetti-Vicenzi nailing in revision arthrodesis for posttraumatic pseudoarthrosis of the ankle. Acta Orthop Belg. 2003;69:42-48.

    PubMed  Google Scholar 

  34. Armstrong DG, Stacpoole-Shea S, Nguyen H, Harkless LB. Lengthening of the Achilles tendon in diabetic patients who are at high risk for ulceration of the foot. J Bone Joint Surg. 1999;81:535-538.

    Article  PubMed  CAS  Google Scholar 

  35. Noonan T, Pinzur M, Paxinos O, Havey R, Patwardin A. Tibial calcaneal arthrodesis with a retrograde intramedullary nail: a biomechanical analysis of the effect on nail length. Foot Ankle Int. 2005;26(4):304-308.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Northside Medical Center, 500 Gypsy Lane, Youngstown, OH, 44505, USA

    Lawrence A. DiDomenico D.P.M., F.A.C.F.A.S.

  2. Department of Surgery, Ankle and Foot Care Center, Alliance, OH, USA

    Thomas W. Groner D.P.M., A.A.C.F.A.S.

Authors
  1. Lawrence A. DiDomenico D.P.M., F.A.C.F.A.S.
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  2. Thomas W. Groner D.P.M., A.A.C.F.A.S.
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Correspondence to Lawrence A. DiDomenico D.P.M., F.A.C.F.A.S. .

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Editors and Affiliations

  1. Department of Sports Medicine, PAFMG-Palo Alto Division, Clark Bldg., 3rd Flr 795 El Camino Real, Palo Alto, CA, 94301, USA

    Amol Saxena

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DiDomenico, L.A., Groner, T.W. (2012). Intramedullary Nail Fixation for Tibiotalocalcaneal Arthrodesis. In: Saxena, A. (eds) International Advances in Foot and Ankle Surgery. Springer, London. https://doi.org/10.1007/978-0-85729-609-2_42

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  • DOI: https://doi.org/10.1007/978-0-85729-609-2_42

  • Publisher Name: Springer, London

  • Print ISBN: 978-0-85729-608-5

  • Online ISBN: 978-0-85729-609-2

  • eBook Packages: MedicineMedicine (R0)

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