title: Technique for Use of Trabecular Metal Spacers in Tibiotalocalcaneal Arthrodesis With Large Bony Defects.
abstract: There are many causes of large bone defects in the tibiotalar joint that need to be definitively treated with a tibiotalocalcaneal (TTC) arthrodesis. Some of the challenges of a large defect are its effect on leg length and the complications associated with trying to fill the defect with structural bone graft. We present an operative strategy involving the use of a trabecular metal implant, a TTC nail that utilized 2 forms of compression, and Reamer/Irrigator/Aspirator (RIA) autograft, to address limitations of previous operative approaches and reliably treat this operative challenge.
authors.affiliation: 1 Department of Orthopaedics, University of California, Davis, Sacramento, CA, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Kreulen
authors.affiliation: 1 Department of Orthopaedics, University of California, Davis, Sacramento, CA, USA.
authors.forename: Evan
authors.initials: E
authors.lastname: Lian
authors.affiliation: 1 Department of Orthopaedics, University of California, Davis, Sacramento, CA, USA.
authors.forename: Eric
authors.initials: E
authors.lastname: Giza
mesh_terms: D000843:Ankle Joint / Q000601:surgery*; D001174:Arthrodesis / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D001858:Bone Nails; D016025:Bone Transplantation / Q000379:methods; D006801:Humans; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000379:methods; D013380:Subtalar Joint / Q000601:surgery*; D013635:Tantalum; D013977:Tibia / Q000601:surgery*
chemical_list: D013635:Tantalum
keywords: Trabecular Metal; ankle; bone defect; tibiotalocalcaneal arthrodesis