Devrim ÖZER, Avni İlhan BAYHAN, Abdi KESKİN, Seçkin SARI, Mehmet Akif KAYGUSUZ

Tibiotalocalcaneal arthrodesis by using proximal humeral locking plate

Objectives: The aim of this study was to evaluate the short-term clinical and radiological results oftibiotalocalcaneal arthrodesis (TTCA) with proximal humeral locking plate.Material and methods: Eight patients (7 female, 1 male; average age 53 years (range: 24e67)) who underwent TTCA with proximal humeral locking plate between 2009 and 2011, were retrospectivelyevaluated with AOFAS hindfoot scale and Maryland foot score system. The mean follow up was 32.6months (range: 23e54).Results: Complete fusion was achieved in 7 patients. Soft tissue infection was observed in 2 patients andreflex sympathetic dystrophy in 3 patients. All patients recovered with medical treatment. At the Şnalfollow-up, mean AOFAS Hindfoot score was 60 (range: 41e81) and Maryland Foot Score was 67.8 (range:41e85). The satisfactory rates of AOFAS and MFS were found as 12.5% (1/8) and 50% (4/8), respectively.One patient had an incomplete union with 5 degrees of heel varus deformity and 5 degrees of equinusdeformity was observed in another. There were no implant failure or deformation of the plate during thefollow-up period.Conclusion: Our study suggests that proximal humeral plate may be an alternative forŞxation intibiotalocalcaneal fusion surgery.© 2016 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This is anopen access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

___

Blankenhorn BDSC. Ankle arthritis. In: MJ Coughlin CS, Anderson RB, eds. Mann's Surgery of the Foot and Ankle. Elsevier; 2014:1037e1077.

Ahmad J, Pour AE, Raikin SM. The modiŞed use of a proximal humeral locking plate for tibiotalocalcaneal arthrodesis. Foot Ankle Int. 2007;28:977e983.

Lowery NJ, Joseph AM, Burns PR. Tibiotalocalcaneal arthrodesis with the use of a humeral locking plate. Clin Podiatr Med Surg. 2009;26:485e492. Table of Contents.

Cooper PS. Complications of ankle and tibiotalocalcaneal arthrodesis. Clin Orthop Relat Res. 2001;391:33e44.

Chodos MD, Parks BG, Schon LC, Guyton GP, Campbell JT. Blade plate compared with locking plate for tibiotalocalcaneal arthrodesis: a cadaver study. Foot Ankle Int. 2008;29:219e224.

O'Neill PJ, Logel KJ, Parks BG, Schon LC. Rigidity comparison of locking plate and intramedullaryŞxation for tibiotalocalcaneal arthrodesis. Foot Ankle Int. 2008;29:581e586.

DiDomenico LA, Wargo-Dorsey M. Tibiotalocalcaneal arthrodesis using a femoral locking plate. J Foot Ankle Surg. 2012;51:128e132.

Chiodo CP, Acevedo JI, Sammarco VJ, et al. Intramedullary rodŞxation compared with blade-plate-and-screwŞxation for tibiotalocalcaneal arthrod- esis: a biomechanical investigation. J Bone Jt Surg Am. 2003:2425e2428, 85- A(12).

Alfahd U, Roth SE, Stephen D, Whyne CM. Biomechanical comparison of intramedullary nail and blade plateŞxation for tibiotalocalcaneal arthrodesis. J Orthop Trauma. 2005;19:703e708.

Bennett GL, Cameron B, Njus G, Saunders M, Kay DB. Tibiotalocalcaneal arthrodesis: a biomechanical assessment of stability. Foot Ankle Int. 2005;26: 530e536.

Ohlson BL, Shatby MW, Parks BG, White KL, Schon LC. Periarticular locking plate vs intramedullary nail for tibiotalocalcaneal arthrodesis: a biomechanical investigation. Am J Orthop (Belle Mead NJ). 2011;40:78e83.

Muckley T, Klos K, Drechsel T, Beimel C, Gras F, Hofmann GO. Short-term outcome of retrograde tibiotalocalcaneal arthrodesis with a curved intra- medullary nail. Foot Ankle Int. 2011;32:47e56.

Niinimaki TT, Klemola TM, Leppilahti JI. Tibiotalocalcaneal arthrodesis with a compressive retrograde intramedullary nail: a report of 34 consecutive pa- tients. Foot Ankle Int. 2007;28:431e434.

Thomas RL, Sathe V, Habib SI. The use of intramedullary nails in tibiotalo- calcaneal arthrodesis. J Am Acad Orthop Surg. 2012;20:1e7.

Jehan S, Shakeel M, Bing AJ, Hill SO. The success of tibiotalocalcaneal arthrodesis with intramedullary nailingea systematic review of the literature. Acta Orthop Belg. 2011;77:644e651.

Doornink J, Fitzpatrick DC, Boldhaus S, Madey SM, Bottlang M. Effects of hybrid plating with locked and nonlocked screws on the strength of locked plating constructs in the osteoporotic diaphysis. J Trauma. 2010;69:411e417.