Tibiotalocalcaneal arthrodesis with an intramedullary device.
An intramedullary fixation device was devised by the senior author (K.A.J.) to use in conjunction with a previously described method for tibiotalocalcaneal arthrodesis. Satisfactory results were obtained in approximately 87% of the initial 30 patients; union was radiographically or clinically evident in all but two patients. Many of these patients had been offered or were considering below the knee amputation; only two ultimately chose this reconstructive option at a follow-up that ranged from 4 to 27 months.
Kile
T A
TA
Mayo Clinic Scottsdale, Arizona 85259.
Donnelly
R E
RE
Gehrke
J C
JC
Werner
M E
ME
Johnson
K A
KA
D000293:Adolescent; D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D016268:Internal Fixators; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011183:Postoperative Complications; D011379:Prognosis; D013380:Subtalar Joint / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome