Treatment of Severe Ankle and Hindfoot Deformity: Technique Using Femoral Head Allograft for Tibiotalocalcaneal Fusion Using a Cup-and-Cone Reamer
Autor: | Troy S. Watson, Ryan Chang, Holman Chan, Victor Hoang, Shivali Gupta, Taylor Anthony |
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Rok vydání: | 2020 |
Předmět: |
Orthopedic surgery
030222 orthopedics medicine.medical_specialty business.industry Hindfoot deformity 030229 sport sciences Gait Surgery law.invention Intramedullary rod Tibiotalocalcaneal fusion body regions 03 medical and health sciences Femoral head 0302 clinical medicine medicine.anatomical_structure law medicine Technical Note Orthopedics and Sports Medicine Reamer Tibiotalocalcaneal arthrodesis Ankle business RD701-811 |
Zdroj: | Arthroscopy Techniques Arthroscopy Techniques, Vol 10, Iss 5, Pp e1187-e1195 (2021) |
ISSN: | 2212-6287 |
Popis: | Limb shortening due to structural bone loss in tibiotalocalcaneal arthrodesis is a concern that can negatively impact the patient’s gait and weight-bearing. To aid in preventing the risk of limb shortening, the use of a femoral head allograft and intramedullary nail in tibiotalocalcaneal arthrodesis has been shown to successfully preserve limb length in patients with structural bone deficits. We present our technique using a femoral head allograft with a cup-and-cone reamer for the treatment of severe ankle and hindfoot deformity. Technique Video Video 1 Intraoperative video and postoperative protocol for a tibiotalocalcaneal arthrodesis with femoral head allograft using a cup-and-cone reamer of the left ankle. The patient is positioned in a partial lateral decubitus position with the surgeon operating through a lateral transfibular approach of the left ankle. |
Databáze: | OpenAIRE |
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