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The Journal of Bone and Joint Surgery (American) 85:123-128 (2003)
© 2003 The Journal of Bone and Joint Surgery, Inc.

Calcaneotalotibial Arthrodesis with a Retrograde Posterior-to-Anterior Locked Nail as a Salvage Procedure for Severe Ankle Pathology

Konrad Mader, MD, Dietmar Pennig, MD, Thomas Gausepohl, MD and Theodor Patsalis, MD

Corresponding author:
Konrad Mader, MD
Department of Trauma Surgery, Hand and Reconstructive Surgery,
St. Vinzenz-Hospital, Merheimer Strasse 221-223, D-50733, Cologne,
Germany. E-mail address: k.mader@ndh.net

The first 150 words of the full text of this article appear below.

Several treatment options are available for pain and disability due to posttraumatic arthritis and deformity of the ankle1-5. In cases in which a tibiotalar arthrodesis is sufficient, the procedure is usually performed through an open or arthroscopic approach, with bone graft when required. However, when severe deformity is present or the subtalar joint is also affected, a calcaneotalotibial arthrodesis should be considered.


   Treatment Options
 
Tibiotalocalcaneal arthrodesis has been accomplished with the use of bone-grafting and a cast, plating, screws, and external fixation1,3,6,7. The combination of blade-plate fixation and morselized bone graft is a preferred method because it provides rigid fixation, avoids a plantar foot incision, and yields good clinical results. Excision of the talus has been associated with unsatisfactory results and has the major drawback of causing shortening8. Screw fixation has been associated with implant migration and a low rate of union9. External fixation is uncomfortable for the . . . [Full Text of this Article]


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