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Journal of Orthopedic Education 5(2):p 103-106, May-August 2019. | DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.5219.5
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Tibiotalocalcaneal Arthrodesis Using a Supracondylar Femoral Nail for Avascular Necrosis of the Talus
Udayan Das , Saswat Samant1 , Udayan Das2 , Sundar Narayan Mohanty3 , Bhabani Shankar Mohapatra4 , Sourav Kumar Pal5
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Journal of Orthopedic Education 5(2):p 103-106, May-August 2019. | DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.5219.5
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Abstract
Tibiotalocalcaneal arthrodesis using a supracondylar femoral nail for advanced tuberculous arthritis of the ankle had been described by Gavaskar et al. in 20097. We describe here our experience with patients who underwent arthrodesis of the ankle using a supracondylar femoral nail for pain and/or instability resulting from post-traumatic avascular necrosis. All the three patients had undergone tibiotalocalcaneal arthrodesis using a short supracondylar femur nail between September 2017 and March 2019. At postoperative year one, the mean FAOS for pain improved to 76 from 25, whereas the mean FAOS for quality of life improved to 63 from 11. We achieved our intended goal of obtaining a tibiotalocalcaneal arthrodesis using a supracondylar femoral nail with satisfactory functional outcomes. Tibiotalocalcaneal arthrodesis using a supracondylar femoral nail appears to be an acceptable solution as a low-cost procedure in patients requiring ankle fusion.
Keywords: Ankle arthrodesis; Avascular necrosis; Supracondylar femoral nail
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DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.5219.5
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