Versatility of the Tibia Long Retrograde Intramedullary Nail for Tibiotalocalcaneal Arthrodesis in Patients with Associated Lesions in the Same Segment
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Abstract
Objective: To present a series of cases where a single tibia nail (antegrade placement) was used retrogradely, with the dual objective of performing a tibiotalocalcaneal arthrodesis added to the treatment of an associated injury in the same surgical stage.
Materials and methods: We retrospectively evaluated a group of 12 patients who required a tibiotalocalcaneal arthrodesis as well as to simultaneously resolve a local secondary defect from September2009 to June 2019. The average age was 43.7 (27-61) years, and the global follow-up was 43.9 months.
Results: All patients achieved a tibiocalcaneal arthrodesis confirmed in antero-posterior and lateral radiographs, and 83.3% of the patients recovered their bone stock completely.
Conclusion: Faced with the lack of osteosynthesis in the market to resolve associated pathologies in the same patient, we propose the use of a long tibial intramedullary nail placed in a retrograde manner as a treatment option since it has proven to be efficient in achieving tibiocalcaneal arthrodesis. In addition, it could be used as a rail for bone lengthening and transport, and as stabilization to treat simultaneous injuries.
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