동종 거골을 이용한 경거종골 관절 유합술: 증례 보고
Tibiotalocalcaneal Arthrodesis Using Talar Allograft: A Case Report
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Tibiotalocalcaneal (TTC) arthrodesis is a limb salvage procedure for severe hindfoot disease and ankle deformity. Previous studies have reported several procedures, but controversy remains regarding its standard procedure. Talar body osteonecrosis can be a devastating condition that is difficult to manage surgically. Advanced-stage disease with extensive talus involvement may require a TTC arthrodesis, and the procedure frequently requires a structural bulk bone graft. A femoral head allograft and intramedullary nailing have been used to solve these problems, but a high rate of non-union was reported. The use of a talus allograft for TTC arthrodesis has been reported to achieve a higher union rate and lower complication rate. In the present case report, a patient with severe talar osteonecrosis was treated successfully with TTC arthrodesis using a talar allograft. To the best of the authors’ knowledge, this is the first report in South Korea regarding the treatment of talar osteonecrosis using TTC arthrodesis with a talar allograft.
Abstract
Tibiotalocalcaneal (TTC) arthrodesis is a limb salvage procedure for severe hindfoot disease and ankle deformity. Previous studies have reported several procedures, but controversy remains regarding its standard procedure. Talar body osteonecrosis can be a devastating condition that is difficult to manage surgically. Advanced-stage disease with extensive talus involvement may require a TTC arthrodesis, and the procedure frequently requires a structural bulk bone graft. A femoral head allograft and intramedullary nailing have been used to solve these problems, but a high rate of non-union was reported. The use of a talus allograft for TTC arthrodesis has been reported to achieve a higher union rate and lower complication rate. In the present case report, a patient with severe talar osteonecrosis was treated successfully with TTC arthrodesis using a talar allograft. To the best of the authors’ knowledge, this is the first report in South Korea regarding the treatment of talar osteonecrosis using TTC arthrodesis with a talar allograft.
참고문헌 (9)
- Acosta R, "The results of a primary and staged pantalar arthrodesis and tibiotalocalcaneal arthrodesis in adult patients", Foot Ankle Int, 21, pp.182~194 (2000)[DOI]
- Song MH, "Tibiotalocalcaneal arthrodesis using retrograde compressive intramedullary nail", J Korean Foot Ankle Soc, 18, pp.202~207 (2014)
- DeFontes KW 3rd, "Tibiotalocalcaneal arthrodesis with bulk talar allograft for treatment of talar osteonecrosis", Foot Ankle Int, 39, pp.506~514 (2018)[DOI]
- Jeng CL, "Tibiotalocalcaneal arthrodesis with bulk femoral head allograft for salvage of large defects in the ankle", Foot Ankle Int, 34, pp.1256~1266 (2013)[DOI]
- Bussewitz B, "Retrograde intramedullary nail with femoral head allograft for large deficit tibiotalocalcaneal arthrodesis", Foot Ankle Int, 35, pp.706~711 (2014)[DOI]
- Coetzee JC, "Femoral head allografts for talar body defects", Foot Ankle Int, 42, pp.815~823 (2021)[DOI]
- Cuttica DJ, "Femoral head allograft for tibiotalocalcaneal fusion using a cup and cone reamer technique", J Foot Ankle Surg, 50, pp.126~129 (2011)[DOI]
- Vaughn J, "Case series : allograft tibiotalocalcaneal arthrodesis utilizing fresh talus", Foot Ankle Orthop, 4, pp.2473011419834541~ (2019)[DOI]
- Ramhamadany E, "Treatment of severe avascular necrosis of the talus using a novel keystone-shaped 3D-printed titanium truss implant", Foot Ankle Orthop, 6, pp.24730114211043516~ (2021)[DOI]