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Coughlin MJ, Nery C, Baumfeld D, et al. TIBIOTARSAL COMPRESSION ARTHRODESIS USING A LATERAL LOCKING PLATE. Rev Bras Ortop. 2015;47(5):611-5doi: 10.1016/S2255-4971(15)30012-4.
Coughlin, M. J., Nery, C., Baumfeld, D., & Jastifer, J. (2012). TIBIOTARSAL COMPRESSION ARTHRODESIS USING A LATERAL LOCKING PLATE. Revista brasileira de ortopedia, 47(5), 611-5. https://doi.org/10.1016/S2255-4971(15)30012-4
Coughlin, Michael J, et al. "TIBIOTARSAL COMPRESSION ARTHRODESIS USING A LATERAL LOCKING PLATE." Revista brasileira de ortopedia vol. 47,5 (2012): 611-5. doi: https://doi.org/10.1016/S2255-4971(15)30012-4
Coughlin MJ, Nery C, Baumfeld D, Jastifer J. TIBIOTARSAL COMPRESSION ARTHRODESIS USING A LATERAL LOCKING PLATE. Rev Bras Ortop. 2015 Nov 04;47(5):611-5. doi: 10.1016/S2255-4971(15)30012-4. eCollection 2012. PMID: 27047874; PMCID: PMC4799433.
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Rev Bras Ortop. 2015 Nov 04;47(5):611-5. doi: 10.1016/S2255-4971(15)30012-4. eCollection 2012.

TIBIOTARSAL COMPRESSION ARTHRODESIS USING A LATERAL LOCKING PLATE.

Revista brasileira de ortopedia

Michael J Coughlin, Caio Nery, Daniel Baumfeld, James Jastifer

Affiliations

  1. Past-president, American Orthopaedic Foot and Ankle Society Past-president, International Federation of Foot and Ankle Societies. Director, St. Alphonsus Foot and Ankle Clinic - Boise, USA.
  2. Associate Professor - UNIFESP - Escola Paulista de Medicina, SP, Brazil; President, Federación Latinoamericana de Cirugia de la Pierna y Pié, SP, Brazil; Board of Directors, IFFAS - International Federation of Foot and Ankle Societies, SP, Brazil; Past-president, ABTPé - Associação Brasileira de Tornozelo e Pé - São Paulo, SP, Brazil.
  3. Foot and Ankle Surgeon - Hospital Felício Rocho -Belo Horizonte, MG, Brazil.
  4. Foot and Ankle Surgeon - Michigan State University Kalamazoo Center of Medical Studies - Kalamazoo, USA.

PMID: 27047874 PMCID: PMC4799433 DOI: 10.1016/S2255-4971(15)30012-4

Abstract

OBJECTIVES: Tibiotalar (TT) arthrodesis is still a very important option in the treatment of primary or post-traumatic arthritis of the ankle but persists the controversy regarding the optimal method for the fixation of the arthrodesis site. No matter the implant used, the goal is to obtain a solid, healthy, pain-free fusion. The purpose of the current study is to present the preliminary results of a novel laterally based tibiotalar compression arthrodesis system using a locked plate.

METHODS: Thirteen consecutive patients with tibiotalar arthritis were submitted to an arthrodesis using a new lateral plating system. The average age was 59.7 years (range 36~72); nine patients were male and four female. Using a cutting guide, the remaining articular surfaces of the tibia and talus were removed. A compression device was applied to avoid malalignment of the ankle and a precontoured lateral locking plate was used to achieve the joint fusion.

RESULTS: Both the AOFAS ankle-hindfoot score and the VAS score improved with the surgery. All patients' ankles fused by 6 months. In all patients we found a very good alignment in the sagittal, coronal and transverse planes.

CONCLUSION: We believe that a combination of a bilateral compression, contoured bony cuts, and lateral locked plating offers a novel, accurate and useful technique for ankle arthrodesis.

Keywords: Ankle Injuries; Arthrodesis; Bone Plates

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