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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 7, 885-888.
doi: 10.1302/0301-620X.90B7.20221  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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A technique of fusion for failed total replacement of the ankle

TIBIO-ALLOGRAFT-CALCANEAL FUSION WITH A LOCKED RETROGRADE INTRAMEDULLARY NAIL

K. Thomason, MRCS, Specialist Registrar in Trauma and Orthopaedics1; and K. S. Eyres, MD, FRCS, FRCS(Orth), Consultant Orthopaedic Surgeon2

1 North Devon District Hospital, Raleigh Park, Barnstaple, Devon EX31 4JB, UK.
2 Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter NHS Trust, Barrack Road, Exeter, Devon EX2 5DW, UK.

Correspondence should be sent to Mr K. S. Eyres; e-mail: Keith.Eyres{at}rdeft.nhs.uk

Salvage of a failed total ankle replacement is technically challenging and although a revision procedure may be desirable, a large amount of bone loss or infection may preclude this. Arthrodesis can be difficult to achieve and is usually associated with considerable shortening of the limb.

We describe a technique for restoring talar height using an allograft from the femoral head compressed by an intramedullary nail. Three patients with aseptic loosening were treated successfully by this method with excellent symptomatic relief at a mean follow-up of 32 months (13 to 50).






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General