title: Periprosthetic fracture after femoral intramedullary nail use in two cases of tibiotalocalcaneal arthrodesis.
abstract: Tibiotalocalcaneal arthrodesis using intramedullary nail fixation is a technically demanding procedure. Periprosthetic fracture in association with tibiotalocalcaneal arthrodesis is a rare occurrence, with relatively few instances reported. The present report describes 2 such instances that occurred after tibiotalocalcaneal arthrodesis using retrograde femoral intramedullary nail fixation. Studies have suggested that a longer nail might decrease the incidence of periprosthetic fracture. Other factors could also have an influence, including the proximal screw orientation and the presence of medical comorbidities, such as osteopenia.
authors.affiliation: University of Pittsburgh Medical Center, Mercy Hospital, Pittsburgh, PA, USA.
authors.forename: Jason B
authors.initials: JB
authors.lastname: Woods
authors.forename: Andrew B
authors.initials: AB
authors.lastname: Shinabarger
authors.forename: Patrick R
authors.initials: PR
authors.lastname: Burns
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000601:surgery; D001174:Arthrodesis / Q000009:adverse effects / Q000295:instrumentation*; D001858:Bone Nails / Q000009:adverse effects*; D005260:Female; D005269:Femur / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011859:Radiography; D013640:Tarsal Joints / Q000601:surgery; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery