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Tibiotalocalcaneal arthrodesis with an intramedullary device
T A Kile1, R E Donnelly, J C Gehrke
1Mayo Clinic Scottsdale, Arizona 85259.
Foot & Ankle International
|December 1, 1994
Summary
A new intramedullary fixation device for tibiotalocalcaneal arthrodesis achieved successful bone fusion in 87% of patients, offering a limb-sparing alternative to amputation.
Area of Science:
- Orthopedic Surgery
- Podiatric Surgery
- Reconstructive Surgery
Background:
- Tibiotalocalcaneal arthrodesis is a surgical procedure to fuse the ankle and hindfoot joints.
- Severe foot and ankle pathology often leads to limited treatment options, including amputation.
- Developing effective fixation methods is crucial for successful arthrodesis outcomes.
Purpose of the Study:
- To evaluate the efficacy of a novel intramedullary fixation device for tibiotalocalcaneal arthrodesis.
- To assess the union rates and clinical outcomes in patients undergoing this procedure.
- To determine the device's potential as a limb-salvage technique.
Main Methods:
- A retrospective review of 30 patients who underwent tibiotalocalcaneal arthrodesis using the novel intramedullary device.
- Radiographic and clinical assessment for bone union and hardware integrity.
- Evaluation of patient outcomes, including the need for further surgical intervention or amputation.
Main Results:
- Successful bone union was achieved in all but two patients (approximately 93%).
- Satisfactory clinical results were reported in approximately 87% of the treated patients.
- Only two patients ultimately required below-knee amputation during the follow-up period (4-27 months).
Conclusions:
- The novel intramedullary fixation device is effective for tibiotalocalcaneal arthrodesis.
- This technique demonstrates a high rate of bone union and satisfactory clinical outcomes.
- The device serves as a viable limb-sparing option for patients with severe foot and ankle conditions.