[Tibiotalocalcaneal arthrodesis using a humeral locking plate]

Area of Science:

• Orthopedic Surgery
• Podiatric Surgery
• Trauma Surgery

Background:

• Tibiotalocalcáneal arthrodesis (TTC) is a procedure for severe ankle osteoarthritis.
• Post-traumatic arthritis, often from ballistic injuries, is a common indication for TTC.
• Neuropathic arthritis also frequently necessitates TTC.

Purpose of the Study:

• To evaluate the outcomes of tibiotalocalcáneal arthrodesis (TTC) utilizing a humeral locking plate.
• To assess the efficacy and safety of this specific fixation method in ankle fusion surgery.

Main Methods:

• Retrospective observational study (2007-2013) of 35 patients undergoing TTC.
• Humeral locking plate used for fixation in all cases.
• Minimum follow-up of 6 months, with assessment of pain and function.

Main Results:

• Mean patient age was 36.3 years; 80% were male.
• Autogenous bone grafting was employed in 27 cases.
• Mean consolidation time was 4.37 months; complications included delayed union (3) and infection (4).
• Postoperative American Orthopaedic Foot and Ankle Society (AOFAS) score averaged 66.7/100; mean visual analogue pain scale score was 2.35.

Conclusions:

• Tibiotalocalcáneal arthrodesis with a humeral locking plate is a viable surgical option.
• The technique demonstrates a low complication rate.
• Satisfactory improvements in pain and bone consolidation were observed postoperatively.