Technique for Use of Trabecular Metal Spacers in Tibiotalocalcaneal Arthrodesis With Large Bony Defects

被引:15
作者
Kreulen, Christopher [1 ]
Lian, Evan [1 ]
Giza, Eric [1 ]
机构
[1] Univ Calif Davis, Dept Orthopaed, 4860 Y St Suite 3800, Sacramento, CA 95817 USA
关键词
Trabecular Metal; tibiotalocalcaneal arthrodesis; bone defect; ankle; TOTAL ANKLE REPLACEMENT; POROUS TANTALUM; GRAFT; SURGERY; SALVAGE; FOOT;
D O I
10.1177/1071100716681743
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
There are many causes of large bone defects in the tibiotalar joint that need to be definitively treated with a tibiotalocalcaneal (TTC) arthrodesis. Some of the challenges of a large defect are its effect on leg length and the complications associated with trying to fill the defect with structural bone graft. We present an operative strategy involving the use of a trabecular metal implant, a TTC nail that utilized 2 forms of compression, and Reamer/Irrigator/Aspirator (RIA) autograft, to address limitations of previous operative approaches and reliably treat this operative challenge.
引用
收藏
页码:96 / 106
页数:11
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