Tibiotalocalcaneal arthrodesis with distal tibial allograft for massive bone deficits in the ankle |
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| Institution: | 1. Department of Orthopedics, Hospital Clinic, Universitat Barcelona, Carrer de Villarroel, 170, 08036 Barcelona, Spain;2. Department of Orthopedics, Hospital Clinico, University of Chile, Santiago 8380456, Chile;3. Department of Orthopedics, Hospital San Rafael, Passeig de la Vall d’Hebron, 107, 08035 Barcelona, Spain;1. Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro173beon-gil, Bundang-gu, Seongnam-si, Kyungki 13620, Republic of Korea;2. Department of Mathematics, College of Natural Science, Ajou University, 206 Worldcup-ro, Yeongtong-gu, Suwon-si, Kyungki 16499, Republic of Korea;3. Department of Orthopaedic Surgery, Ewha Womans University Mokdong Hospital, 1071 Anyangcheon-ro, Yangcheon-gu, Seoul 07985, Republic of Korea;1. Clinical Institute of Diagnostic and Interventional Radiology, Zagreb University Hospital Center, Kišpatićeva 12, 10000 Zagreb, Croatia;2. Department of Radiology and Ultrasound Diagnostics, Special Hospital for Pulmonary Diseases, Rockefellerova 3, 10000 Zagreb, Croatia;3. Department of Orthopaedic Surgery, University Hospital Center Zagreb, School of Medicine, Šalata 7, 10000 Zagreb, Croatia;4. Department of Ophthalmology, General Hospital “Dr. Josip Benčević”, Andrije Štampara 42, 35000, Slavonski Brod, Croatia;1. Department of Orthopedic Surgery, Klinikum Dortmund, Member Faculty of Health Witten/Herdecke University, Beurhausstraße 40, 44137 Dortmund, Germany;2. Medical University Düsseldorf, Moorenstraße 5, 40225 Düsseldorf, Germany;3. Department of Orthopedic Surgery, St. Vinzenz Krankenhaus, Schlossstraße 85, 40447 Düsseldorf, Germany;4. Department of Orthopedic Surgery, Klinikum Dortmund, Beurhausstraße 40, 44137 Dortmund, Germany;5. LVR Clinics of Orthopedic Surgery, Horionstraße 2, 41479 Viersen, Germany;6. Department of Traumatology and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University of Witten/Herdecke, Ostmerheimer Str. 200, 51109 Cologne, Germany;1. Department of Clinical and Professional Practice, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa;2. Evolutionary Studies Institute, University of the Witwatersrand, Braamfontein, 2000 Johannesburg, South Africa;3. School of Geosciences, University of the Witwatersrand, Braamfontein, 2000 Johannesburg, South Africa;4. Research, M&E and Strategic Information, Enhancing Care Foundation, Durban, South Africa;1. Professor, Department of Orthopedic Surgery, Hospital Clinic of Barcelona, Barcelona, Spain;2. Orthopedist, Department of Orthopedic Surgery, Hospital Clinic of Barcelona, Barcelona, Spain;3. Professor, Department of Anesthesiology, Hospital Clinic of Barcelona, Barcelona, Spain |
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| Abstract: | BackgroundThe purpose of this study was to assess the outcomes of distal tibial structural allograft to obtain a stable TTC fusion.MethodsRetrospectively, ten patients were carried out with a minimum one year follow-up. The median age was 72 (33–81). The median BMI was 28 (24–33). Indications for TTC arthrodesis included failed total ankle arthroplasty (n = 7 patients), prior nonunion (n = 2 patients), and a trauma injury.ResultsUnion rate was 80%. The median initial height of the distal tibial allograft was 19 mm (14–24 mm). In seven cases the allograft did not lose height. The AOFAS score median was 69 (31–84). SF-12 median physical component was 39 (30–53), and 59 (23–62) for mental component. The VAS median was 2 (0–8).ConclusionsTTC using distal tibial allograft shows a lower rate of collapse than other structural grafts and provides a fusion rate higher or in accordance with the literature.Level of evidenceLevel IV, retrospective case series. |
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| Keywords: | Tibiotalocalcaneal arthrodesis Bone loss Allograft Ankle |
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