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Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis.

Publication ,  Journal Article
Lachman, JR; Adams, SB
Published in: Foot Ankle Clin
March 2019

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.

Duke Scholars

Published In

Foot Ankle Clin

DOI

EISSN

1558-1934

Publication Date

March 2019

Volume

24

Issue

1

Start / End Page

143 / 161

Location

United States

Related Subject Headings

  • Talus
  • Prostheses and Implants
  • Printing, Three-Dimensional
  • Osteonecrosis
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Female
  • Calcaneus
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lachman, J. R., & Adams, S. B. (2019). Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis. Foot Ankle Clin, 24(1), 143–161. https://doi.org/10.1016/j.fcl.2018.11.002
Lachman, James R., and Samuel B. Adams. “Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis.Foot Ankle Clin 24, no. 1 (March 2019): 143–61. https://doi.org/10.1016/j.fcl.2018.11.002.
Lachman JR, Adams SB. Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis. Foot Ankle Clin. 2019 Mar;24(1):143–61.
Lachman, James R., and Samuel B. Adams. “Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis.Foot Ankle Clin, vol. 24, no. 1, Mar. 2019, pp. 143–61. Pubmed, doi:10.1016/j.fcl.2018.11.002.
Lachman JR, Adams SB. Tibiotalocalcaneal Arthrodesis for Severe Talar Avascular Necrosis. Foot Ankle Clin. 2019 Mar;24(1):143–161.
Journal cover image

Published In

Foot Ankle Clin

DOI

EISSN

1558-1934

Publication Date

March 2019

Volume

24

Issue

1

Start / End Page

143 / 161

Location

United States

Related Subject Headings

  • Talus
  • Prostheses and Implants
  • Printing, Three-Dimensional
  • Osteonecrosis
  • Orthopedics
  • Middle Aged
  • Male
  • Humans
  • Female
  • Calcaneus