Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis.


Journal Article (Review)

Severe talar avascular necrosis has many etiologies and can cause bone loss/hindfoot deformity. Tibiotalar calcaneal arthrodesis is a salvage procedure after severe talar avascular necrosis. Large bone voids can present significant challenges. Modest successes have been reported with structural block allograft tibiotalocalcaneal arthrodesis using either plate and screws, intramedullary nail fixation, or a combination. The advent of 3-dimensional printed titanium trusses has given surgeons another option for filling voids and providing structural support to prevent collapse. Although these options expand the armamentarium, treating surgeons must adhere to principles of arthrodesis: stable constructs, thorough joint surface preparation, and correction of deformity.

Full Text

Duke Authors

Cited Authors

  • Lachman, JR; Adams, SB

Published Date

  • March 2019

Published In

Volume / Issue

  • 24 / 1

Start / End Page

  • 143 - 161

PubMed ID

  • 30685008

Pubmed Central ID

  • 30685008

Electronic International Standard Serial Number (EISSN)

  • 1558-1934

Digital Object Identifier (DOI)

  • 10.1016/j.fcl.2018.11.002


  • eng

Conference Location

  • United States