J Korean Foot Ankle Soc.  2008 Jun;12(1):66-73.

Tibio-talo-calcaneal Arthrodesis with Multiple Cannulated Screw Fixation

• Jung HG
• Park SH
• Yoo HY
• Yoo MJ

Abstract

PURPOSE
To report the clinical results of tibio-talo-calcaneal arthrodesis fixed with multiple cannulated screws for the cases of painful ankle and hindfoot arthropathy regardless of any deformity or instability.
MATERIALS AND METHODS
A retrospective analysis was performed upon 10 patients that underwent tibio-talo-calcaneal arthrodesis from October 1999 to May 2006. There were 4 males and 6 females, with an average age of 63 years (43-70). The etioloty of arthrodesis included 5 osteoarthritis, 2 Charcot joints, 1 rheumatoid arthritis, 1 Tbc arthritis and 1 residual poliomyelitis. Chief complaints were pain in 9 cases and instability in 1 case. Three patients had combined severe varus deformity. Tibio-talo-calcaneal arthrodesis using multiple cannulated screws was performed by transfibular approach for all cases and short leg cast was applied for 12 weeks postoperatively.
RESULTS
The average follow-up period was 16.5 months (12-26 months). VAS pain score was average 8.2 (7-10) and modified AOFAS score was average 25 (8-40, total 86) preoperatively. At final follow-up, VAS score was average 1.0 (0-3) and AOFAS score improved to average 66 (58-75). There were 4 complications: 2 nonunion, 1 tibia stress fracture and 1 malunion. Seven of 8 patients were satisfied with the results at final follow-up.
CONCLUSION
Fixation with multiple cannulated screws for tibio-talo-calcaneal arthrodesis through transfibular approach is a recommendable surgical option.

Keyword

Tibio-talo-calcaneal joint; Arthrodesis; Multiple cannulated screw fixation

MeSH Terms

Animals
Ankle
Arthritis
Arthritis, Rheumatoid
Arthrodesis
Arthropathy, Neurogenic
Congenital Abnormalities
Female
Follow-Up Studies
Fractures, Stress
Humans
Leg
Male
Osteoarthritis
Poliomyelitis
Retrospective Studies
Tibia