Tibiotalocalcaneal Arthrodesis with a Retrograde Triple Bending Nail - Results of 200 Cases:

摘要

Category:Ankle, Ankle Arthritis, HindfootIntroduction/Purpose:The aim of the study was to analyse the clinical aspects including minimum 1-year-followup of tibiotalocalcaneal arthrodeses (TTCA) with a triple-bend retrograde intramedullary nail (A3, Stryker, Airview Boulevard, MN, USA).Methods:In a prospective consecutive non-controlled clinical followup study, all patients with TTCA using A3 from October 18th, 2011 to October 10th, 2015 were analyzed. The time and accuracy of the alignment and implant position (Visual analogue scale, 0-10) for implant placement, complications, radiological fusion, and Visual Analogue Scale Foot and Ankle (VAS FA) were recorded. Fusion (=50% bony bridge at ankle and subtalar joints assessed on radiographs) was assessed at 6, 9, 12 weeks, then latest follow-up. VAS FA was recorded at latest follow-up.Results:200 cases were included (age, 59.3 (22-83) years; VAS FA, 31.9 (0-79.3)). Indications were specified as follows (multiple possible): osteoarthritis, n=182 (91%); instab...