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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Tibiotalocalcaneal fusion with a cemented coated retrograde nail as a salvage pr...
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Vol. 61. Issue 6.
Pages 441-445 (November - December 2017)
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Vol. 61. Issue 6.
Pages 441-445 (November - December 2017)
Case report
DOI: 10.1016/j.recote.2017.10.001
Tibiotalocalcaneal fusion with a cemented coated retrograde nail as a salvage procedure for infected ORIF of the ankle
Artrodesis tibiotalocalcánea con clavo retrógrado cementado con antibiótico en rescate de osteosíntesis infectada de tobillo
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M. Herrera-Péreza,b,
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herrera42@gmail.com

Corresponding author.
, J. Boluda-Mengodb, M.J. Gutierrez-Moralesb, J.L. Pais-Britoa,b
a Departamento de Cirugía, Facultad de Medicina, Universidad de La Laguna, Tenerife, Spain
b Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario de Canarias, Tenerife, Spain
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Abstract

Tibiotalocalcaneal arthrodesis is an effective salvage procedure in cases of combined ankle and subtalar osteoarthritis as well as severe multiplanar deformities and severe joint destruction of the hindfoot. Special mention should be made of this procedure in cases of bone loss, especially from the talus, secondary to failed previous surgeries or bone infection, often being the only way to achieve a stable and painless foot and ankle. We present a case of ankle fracture in a patient with associated morbidity and multiple complications following osteosynthesis, in which tibiotalocalcaneal arthrodesis with cemented with antibiotic coated retrograde nail has achieved a satisfactory final result.

Keywords:
Ankle fracture
Osteomyelitis
Tibiotalocalcaneal arthrodesis
Bone cement
Resumen

La artrodesis tibiotalocalcánea es un procedimiento de rescate efectivo en casos de artrosis combinada de tobillo y subastragalina así como en deformidades severas multiplanares y graves destrucciones articulares del retropié. Mención especial merece la indicación de este procedimiento en casos de pérdida ósea, especialmente astragalina, secundaria a cirugías previas fallidas o como secuela de infección ósea, constituyendo muchas veces la única forma de conseguir un pie plantígrado y un tobillo estable e indoloro. Presentamos un caso de fractura de tobillo en paciente con morbilidad asociada y múltiples complicaciones tras la osteosíntesis, en el que la artrodesis tibiotalocalcánea con clavo retrógrado cementado con antibiótico ha conseguido un resultado final satisfactorio.

Palabras clave:
Fractura de tobillo
Osteomielitis
Artrodesis tibiotalocalcánea
Clavo cementado

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