title: The use of the 4.5 mm 90° titanium cannulated LC-angled blade plate in tibiotalocalcaneal and complex ankle arthrodesis.
abstract: BACKGROUND
  Tibiotalocalcaneal arthrodesis is used to manage end stage arthritis, often associated with severe bone loss. The goal is to relieve pain through a stable, well-aligned hindfoot and ankle. We describe our initial results and outcome of ankle and tibiotalocalcaneal arthrodesis using a 90° blade plate.
  
  
  METHODS
  We retrospectively reviewed the records of patients managed at our institution between 2010 and 2014. Twenty cases were identified who had either talocrural (n = 9) or TTC fusion (n = 11) with 1 patient having both ankle and then TTC fusion in separate sittings.
  
  
  RESULTS
  Fusion occurred in 18 of the 20 cases (90%) with correction of angular deformity and restoration of hindfoot alignment. None of the 18 patients developed complications and all discharged to follow-up when independently mobile and satisfied with the outcome.
  
  
  CONCLUSIONS
  This study demonstrated that using a 90° blade plate for ankle or TTC arthrodesis in a diverse group of complex primary and revision indications associated with severe deformity and bone loss resulted in a high rate of bony union and stable deformity correction.
authors.affiliation: Harrogate and District NHS Foundation Trust, Lancaster Park Road, Harrogate HG2 7SX, United Kingdom. Electronic address: ekheir@doctors.org.uk.
authors.forename: Ehab
authors.initials: E
authors.lastname: Kheir
authors.affiliation: Harrogate and District NHS Foundation Trust, Lancaster Park Road, Harrogate HG2 7SX, United Kingdom.
authors.forename: Vishal
authors.initials: V
authors.lastname: Borse
authors.affiliation: Harrogate and District NHS Foundation Trust, Lancaster Park Road, Harrogate HG2 7SX, United Kingdom.
authors.forename: Helen
authors.initials: H
authors.lastname: Bryant
authors.affiliation: Harrogate and District NHS Foundation Trust, Lancaster Park Road, Harrogate HG2 7SX, United Kingdom.
authors.forename: Mark
authors.initials: M
authors.lastname: Farndon
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000843:Ankle Joint / Q000601:surgery*; D001168:Arthritis / Q000601:surgery*; D001174:Arthrodesis / Q000295:instrumentation*; D001672:Biocompatible Materials; D001860:Bone Plates; D002111:Calcaneus / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013628:Talus / Q000601:surgery*; D013977:Tibia / Q000601:surgery*; D014025:Titanium
chemical_list: D001672:Biocompatible Materials; D014025:Titanium
keywords: Ankle arthrodesis; Blade plate; Fusion; Tibiotalocalcaneal arthrodesis