title: Intramedullary fibular graft for tibiotalocalcaneal arthrodesis.
abstract: The intramedullary fibular graft was used in four patients for tibiotalocalcaneal fusion. There were three men and one woman. The average age was 49.7 years (range, 35-73 years). The initial injuries were three pilon fractures and one ankle fracture. Tibiotalocalneal arthrodesis was performed as a salvage procedure for patients with significant posttraumatic arthritis of the ankle, concomitant subtalar arthritis, and severe osteopenia. The average followup was 28 months (range, 24-31 months). All the patients had successful arthrodesis and were satisfied with the outcome results. The average preoperative American Orthopaedic Foot And Ankle Society ankle-hindfoot score for the whole group was 49.5 (range, 44-54) and improved postoperatively to 78.5 (range, 71-81). Three patients had a good score and one patient had a fair score. There was no postoperative infection or fracture of the graft.
authors: Department of Orthopaedic Surgery Medical College of Ohio, Toledo 43614-5807, USA.
authors: N A
authors: NA
authors: Ebraheim
authors: H
authors: H
authors: Elgafy
authors: J J
authors: JJ
authors: Stefancin
mesh_terms: D000328:Adult; D000368:Aged; D016512:Ankle Injuries / Q000601:surgery*; D001174:Arthrodesis; D002111:Calcaneus / Q000601:surgery; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013628:Talus / Q000601:surgery; D013977:Tibia / Q000601:surgery