A technique of fusion for failed total replacement of the ankle - Tibio-allograft-calcaneal fusion with a locked retrograde intramedullary nail

被引:60
作者
Thomason, K. [1 ]
Eyres, K. S. [1 ]
机构
[1] Royal Devon & Exeter NHS Trust, Princess Elizabeth Orthopaed Ctr, Exeter EX2 5DW, Devon, England
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2008年 / 90B卷 / 07期
关键词
D O I
10.1302/0301-620X.90B7.20221
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Salvage of a failed total ankle replacement is technically challenging and although a revision procedure may be desirable, a large amount of bone loss or infection may preclude this. Arthrodesis can be difficult to achieve and is usually associated with considerable shortening of the limb. We describe a technique for restoring talar height using an allograft from the femoral head compressed by an intramedullary nail. Three patients with aseptic loosening were treated successfully by this method with excellent symptomatic relief at a mean follow-up of 32 months (13 to 50).
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页码:885 / 888
页数:4
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