Commercially available trabecular metal ankle interpositional spacer for tibiotalocalcaneal arthrodesis secondary to severe bone loss of the ankle.
Journal article

Commercially available trabecular metal ankle interpositional spacer for tibiotalocalcaneal arthrodesis secondary to severe bone loss of the ankle.

  • Horisberger M Orthopaedic Department, University Hospital of Basel, Basel, Switzerland. Electronic address: Monika.Horisberger@hotmail.com.
  • Paul J Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
  • Wiewiorski M Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
  • Henninger HB Harold K. Dunn Orthopaedic Research Laboratory, Department of Orthopaedics, University of Utah, Salt Lake City, UT.
  • Khalifa MS Orthopaedic Department, Rashid Hospital, Dubai, United Arab Emirates.
  • Barg A Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
  • Valderrabano V Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
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  • 2014-03-27
Published in:
  • The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons. - 2014
English Retrograde tibiotalocalcaneal nailing arthrodesis has proved to be a viable salvage procedure; however, extended bone loss around the ankle has been associated with high rates of nonunion and considerable shortening of the hindfoot. We present the surgical technique and the first 2 cases in which a trabecular metal™ interpositional spacer, specifically designed for tibiotalocalcaneal nailing arthrodesis, was used. The spacer can be implanted using either an anterior or a lateral approach. An integrated hole in the spacer allows a retrograde nail to be inserted, which provides excellent primary stability of the construct. Trabecular metal™ is a well-established and well-described material used to supplement deficient bone stock in surgery of the spine, hip, and knee. It has shown excellent incorporation and reduces the need for auto- and allografts. The trabecular metal™ interpositional ankle spacer is the first trabecular metal spacer designed specifically for ankle surgery. Its shape and variable size will make it a valuable tool for reconstructing bone loss in tibiotalocalcaneal nailing arthrodesis.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/53558
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