Tibiotalocalcaneal arthrodesis with distal tibial allograft for massive bone deficits in the ankle

Tibiotalocalcaneal (TTC) arthrodesis in patients with severe deformity and bone loss presents a substantial challenge to successful reconstruction [1 –4]. Common indications include posttraumatic osteoarthritis, inflammatory arthropathies, neuroarthropathies, neuromuscular deformities, talar avascular necrosis, nonunion of an ankle arthrodesis, or failed total ankle arthroplasty (TAR) [5]. Options for surgical management of these challenging pr oblems include primary TTC arthrodesis with shortening, talectomy with TTC arthrodesis and extreme shortening, distal fusion with proximal Ilizarov bone transport to restore length, and below knee amputation [6].

Source: Foot and Ankle Surgery - February 17, 2018 Category: Orthopaedics Authors: Mario I. Escudero, Daniel Poggio, Fernando Alvarez, Maximiliano Barahona, Diego Vivar, Alvaro Fernandez Source Type: research