Journal article
Commercially available trabecular metal ankle interpositional spacer for tibiotalocalcaneal arthrodesis secondary to severe bone loss of the ankle.
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Horisberger M
Orthopaedic Department, University Hospital of Basel, Basel, Switzerland. Electronic address: Monika.Horisberger@hotmail.com.
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Paul J
Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
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Wiewiorski M
Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
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Henninger HB
Harold K. Dunn Orthopaedic Research Laboratory, Department of Orthopaedics, University of Utah, Salt Lake City, UT.
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Khalifa MS
Orthopaedic Department, Rashid Hospital, Dubai, United Arab Emirates.
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Barg A
Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
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Valderrabano V
Orthopaedic Department, University Hospital of Basel, Basel, Switzerland.
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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.
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Language
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Open access status
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closed
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Identifiers
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Persistent URL
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https://folia.unifr.ch/global/documents/53558
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