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Foot Ankle Spec. 2015 Jun;8(3):220-5. doi: 10.1177/1938640014548322. Epub 2014 Aug 24.

Early Tibiotalocalcaneal Arthrodesis Intramedullary Nail for Treatment of a Complex Tibial Pilon Fracture (AO/OTA 43-C).

Author information

1
Department of Orthopaedic Surgery, Rush University Medical Center (ARH), Chicago, IllinoisDepartment of Orthopaedic Surgery, John H. Stroger, Jr Hospital of Cook County (JPS), Chicago, Illinois andyhsu1@gmail.com.
2
Department of Orthopaedic Surgery, Rush University Medical Center (ARH), Chicago, IllinoisDepartment of Orthopaedic Surgery, John H. Stroger, Jr Hospital of Cook County (JPS), Chicago, Illinois.

Abstract

Management of severely comminuted, complete articular tibial pilon fractures (AO/OTA 43-C) remains a challenge, with few treatment options providing good clinical outcomes. Open reduction and internal fixation of the tibial plafond, tibiotalar arthrodesis, and salvage hindfoot reconstruction procedures are all associated with surgical complications and functional limitations. In this report, we present a case of a complex pilon fracture in a patient with multiple medical comorbidities and socioeconomic disadvantages that was successfully and acutely treated with a retrograde tibiotalocalcaneal hindfoot arthrodesis nail. At final follow-up examination, the patient had decreased pain, a stable plantigrade foot, and could ambulate with normal shoes without any assistive devices.

LEVELS OF EVIDENCE:

Therapeutic, Level IV: Case series.

KEYWORDS:

ankle; arthrodesis; hindfoot; internal fixation; salvage; tibial plafond; tibiotalocalcaneal

PMID:
25156100
DOI:
10.1177/1938640014548322
[Indexed for MEDLINE]

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