Tibiocalcaneal arthrodesis using pediatric blade plate

Richard Alvarez, William K. McKibbin

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

With improving medical management of diabetes mellitus comes longer survival, so neuropathic arthropathy becomes more frequent, especially that involving the foot and ankle. Although modern plastics and fabrication techniques provide improved orthotic and brace management of this problem, many of the hindfoot/ankle neuropathic deformities become nonbraceable. Surgery becomes necessary to correct alignment so that these deformities are made braceable. Without surgery, skin problems and progression of deformities in a brace produce severe wounds and infections eventually leading to amputations. At our institution, successful management of neuropathic ankle deformities with fragmentation and dissolution of the body of the talus has been successfully performed on 19 patients. Each patient was managed with a pediatric AO condylar blade plate, large AO cannulated screws, and a special cancellous-antibiotic allograft mixture. This procedure is a salvage alternative to below-knee amputation with the activity goal of limited community ambulation. Physiology, pathomechanics, and surgical solutions are covered. A late complication of tibiocalcaneal arthrodesis is a stress fracture at the proximal end of the plate. This is prevented by a bivalved ankle-foot orthosis and a modified shoe.

Original languageEnglish (US)
Pages (from-to)217-221
Number of pages5
JournalOperative Techniques in Orthopaedics
Volume6
Issue number4
DOIs
StatePublished - Jan 1 1996

Fingerprint

Arthrodesis
Ankle
Pediatrics
Braces
Amputation
Foot Orthoses
Talus
Stress Fractures
Shoes
Joint Diseases
Wound Infection
Plastics
Walking
Allografts
Foot
Knee
Diabetes Mellitus
Anti-Bacterial Agents
Skin
Survival

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Tibiocalcaneal arthrodesis using pediatric blade plate. / Alvarez, Richard; McKibbin, William K.

In: Operative Techniques in Orthopaedics, Vol. 6, No. 4, 01.01.1996, p. 217-221.

Research output: Contribution to journalArticle

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