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Tibiocalcaneal arthrodesis in the high-risk foot.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	LaPorta, Guido A. Nasser, Ellianne M. Mulhern, Jennifer L.
Description	Country affiliation: Panama Author Affiliation: LaPorta GA ( Chief, Podiatric Medicine and Surgery, and Residency Director, Geisinger Community Medical Center, Scranton, PA); Nasser EM ( Fellow, Limb Salvage and Reconstructive Surgery Fellowship Program, Northeast Regional Foot and Ankle Institute, Dunmore, PA. Electronic address: ellienasser@gmail.com.); Mulhern JL ( Chief Resident, Geisinger Community Medical Center, Scranton, PA.)
Abstract	The present case series outlines the history and surgical treatment of 6 patients who underwent tibiocalcaneal arthrodesis from April 2002 to May 2012, all with external fixation as the primary or secondary fixation. Surgical intervention was performed by the same surgeon at the same facility. The indication for surgery was a nonbraceable Charcot deformity in 5 (83.3%) patients and bone and soft tissue infection complicating previous intramedullary hindfoot fusion in 1 (16.7%) patient. Talectomy was performed in 2 (33.3%) patients secondary to widespread osteomyelitis of the talus and in 4 (66.7%) patients secondary to avascular necrosis and/or disintegration and fragmentation of the remaining talus. The postoperative complications have been discussed in detail and their management outlined. At the most recent follow-up visit, all patients were independently ambulating on a braceable limb with or without the use of an assistive device. In conclusion, tibiocalcaneal arthrodesis is a reasonable option for limb salvage to produce community ambulators in the high-risk population. We emphasize that although multiple fixation options are available for tibiocalcaneal arthrodesis, a combination of internal and external fixation is vital to its success.
File Format	HTM / HTML
ISSN	10672516
Issue Number	6
Volume Number	53
e-ISSN	15422224
Journal	The Journal of Foot and Ankle Surgery
Language	English
Publisher	Elsevier
Publisher Date	2014-11-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Discipline General Surgery Ankle Surgery Arthrodesis Methods Arthropathy, Neurogenic Calcaneus Osteomyelitis Tibia Adult Etiology Diabetes Complications Complications External Fixators Heel Humans Limb Salvage Male Middle Aged Retrospective Studies Talus Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Orthopedics and Sports Medicine Surgery

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Tibiocalcaneal arthrodesis in the high-risk foot.