Skip to main content

Anterior Plating with Retention of Nail for Ankle Nonunion after Tibiotalocalcaneal Arthrodesis

Publication ,  Journal Article
Matson, AP; Hamid, KS; Dekker, TJ; Deorio, JK
Published in: Techniques in Foot and Ankle Surgery
January 1, 2017

Tibiotalocalcaneal arthrodesis (TTCA) by retrograde intramedullary nailing (RIMN) may result in isolated nonunion of the ankle joint. In these cases, revision TTCA with RIMN may be technically difficult and carry some morbidity. However, if the subtalar joint has achieved union a full revision of RIMN may be unnecessary. This report describes a technique of anterior plating with retention of nail as a salvage option for patients with this problem. In addition, outcomes are reported for 6 patients who underwent anterior plating with retention of nail for isolated ankle nonunion after attempted TTCA by RIMN. All 6 patients achieved tibiotalar fusion at an average of 9.3 weeks (range, 5.4 to 16.1 wk) postoperatively and average pain scores significantly improved (7.8 to 5.3, P=0.019) postoperatively. One major complication and 1 minor complication occurred. Anterior plating with retention of nail appears to be a viable option for salvage ankle arthrodesis after failed TTCA by RIMN; however, detailed preoperative counseling regarding the potential risks of surgery should be performed. Level of Evidence: Diagnostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Techniques in Foot and Ankle Surgery

DOI

EISSN

1538-1943

ISSN

1536-0644

Publication Date

January 1, 2017

Volume

16

Issue

1

Start / End Page

41 / 45

Related Subject Headings

  • Orthopedics
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Matson, A. P., Hamid, K. S., Dekker, T. J., & Deorio, J. K. (2017). Anterior Plating with Retention of Nail for Ankle Nonunion after Tibiotalocalcaneal Arthrodesis. Techniques in Foot and Ankle Surgery, 16(1), 41–45. https://doi.org/10.1097/BTF.0000000000000136
Matson, A. P., K. S. Hamid, T. J. Dekker, and J. K. Deorio. “Anterior Plating with Retention of Nail for Ankle Nonunion after Tibiotalocalcaneal Arthrodesis.” Techniques in Foot and Ankle Surgery 16, no. 1 (January 1, 2017): 41–45. https://doi.org/10.1097/BTF.0000000000000136.
Matson AP, Hamid KS, Dekker TJ, Deorio JK. Anterior Plating with Retention of Nail for Ankle Nonunion after Tibiotalocalcaneal Arthrodesis. Techniques in Foot and Ankle Surgery. 2017 Jan 1;16(1):41–5.
Matson, A. P., et al. “Anterior Plating with Retention of Nail for Ankle Nonunion after Tibiotalocalcaneal Arthrodesis.” Techniques in Foot and Ankle Surgery, vol. 16, no. 1, Jan. 2017, pp. 41–45. Scopus, doi:10.1097/BTF.0000000000000136.
Matson AP, Hamid KS, Dekker TJ, Deorio JK. Anterior Plating with Retention of Nail for Ankle Nonunion after Tibiotalocalcaneal Arthrodesis. Techniques in Foot and Ankle Surgery. 2017 Jan 1;16(1):41–45.

Published In

Techniques in Foot and Ankle Surgery

DOI

EISSN

1538-1943

ISSN

1536-0644

Publication Date

January 1, 2017

Volume

16

Issue

1

Start / End Page

41 / 45

Related Subject Headings

  • Orthopedics