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    Tibiotalocalcaneal arthrodesis with a compressive retrograde nail: A retrospective study of 59 nails

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    URI
    http://hdl.handle.net/11287/594004
    Author
    Thomas, A. E.
    Guyver, Paul M.
    Taylor, James M.
    Czipri, Matyas
    Talbot, Nick J.
    Sharpe, Ian T.
    Date
    2015-09
    Journal
    Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
    Type
    Journal Article
    Publisher
    Elsevier
    DOI
    10.1016/j.fas.2015.01.001
    Metadata
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    Abstract
    BACKGROUND: Tibiotalocalcaneal arthrodesis is an important salvage method for patients with complex hindfoot problems. This study reports the elective results of combined subtalar and ankle arthrodesis using one design of retrograde intramedullary compression nail. METHODS: Retrospective review identified 58 patients undergoing 59 tibiotalocalcaneal arthrodesis procedures. Mean follow up was 9.15 (3-36) months with average age 60.7 (22-89) years. A function and subjective patient satisfaction questionnaire was achieved in 89%. RESULTS: 53 patients (93%) achieved union at a mean time of 4.17 months. Four patients (8%) subjectively thought the procedure was of no benefit while 42 (84%) had an excellent or good result. The mean visual analogue scale (VAS) score for preoperative functional pain was 7.46 compared to 1.98 post-operatively (p<0.001). CONCLUSIONS: This device and technique offers an effective treatment of hindfoot pathology giving reliable compression and subsequent fusion with excellent patient satisfaction and pain relief. LEVEL OF EVIDENCE: IV case series.
    Citation
    Foot Ankle Surg. 2015 Sep;21(3):202-5.
    Publisher URL
    http://www.sciencedirect.com/science/article/pii/S1268773115000028
    Collections
    • 2015 RD&E publications
    • General Trauma & Orthopaedics

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