Stress fractures and tibial cortical hypertrophy after tibiotalocalcaneal arthrodesis with an intramedullary nail.

Abstract:

:Twelve patients underwent successful tibiotalocalcaneal arthrodesis using a locked intramedullary nail with posterior moldable bone grafting. Two of the patients developed a nondisplaced stress fracture around the proximal interlocking screws, which responded to immobilization at 8 and 15 months after surgery. In 7 of 12 patients, > or =2 mm of cortical hypertrophy was noted between the proximal interlocking screws along the medial and/or lateral aspect of the tibia. Although intramedullary nailing can achieve satisfactory tibiotalocalcaneal arthrodesis, the stress risers in the tibial diaphyses do result in a stress reaction in a significant number of patients.

journal_name

Foot Ankle Int

authors

Thordarson DB,Chang D

doi

10.1177/107110079902000806

keywords:

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

497-500

issue

8

eissn

1071-1007

issn

1944-7876

journal_volume

20

pub_type

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