Tibiotalocalcaneal Fusion Rate with a Novel Pseudoelastic Intramedullary Nail with NiTiNOL:

Foot & Ankle Orthopaedics

TravisDekker¹ 

关键词: dynamic compression;    ankle arthritis;    subtalar fusion;    ankle fusion;    TTC;    tibiotalocalcaneal;    NiTiNOL;   

DOI  :  10.1177/2473011418S00042

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:Ankle ArthritisIntroduction/Purpose:Tibiotalocalcaneal (TTC) fusion is a salvage operation for patients with significant arthritis and deformity of ankle and subtalar joints. Despite overall clinic success, fusion across both joints continues to be a major challenge with nonunion rates reported up to 48% [Franceschi]. Aside from certain patient comorbidities, nonunion may result when compression across the joint is lost in the setting of bone resorption. The use of a pseudoelastic intramedullary nail has been shown to maintain compression across fusion site in response to bone resorption. The purpose of this study was to evaluate the fusion rate in a high-risk population at a tertiary care center using a psuedoelastic intramedullary nail with an internal nitinol element.Methods:After obtaining IRB approval, a retrospective review of consecutive patients that underwent procedures with TTC fusion with novel intramedullary nail system with super elastic internal nickel titanium (NiTiNOL, DynaNail, M...

【 授权许可】

CC BY