Subtalar joint involvement with tibiotalocalcaneal intramedullary nail arthrodesis.
Publication/Presentation Date
10-26-2024
Abstract
Tibiotalocalcaneal (TTC) fusion with an intramedullary nail (IMN) has been utilized for a myriad of indications in hindfoot and ankle reconstruction. However, some controversies remain on the optimal position of the hindfoot. Previous studies have reported on the potential medialization of the rearfoot during insertion of the IMN, but few studies have examined the potential affect on the subtalar joint. We performed the present cadaveric study in order to assess the involvement of a 12-mm IMN with the posterior facet of the calcaneus. A 3-mm guide wire (for a standard TTC IMN) was inserted in an anterograde fashion beginning within the central aspect of the tibial canal in 10 fresh-frozen below knee cadaver specimens. The subtalar joint of each specimen was exposed and images of the posterior facet were collected. Utilizing an open source Java image processing program (ImageJ/Fiji), we calculated a mean native calcaneal posterior facet of 4.6 cm
ISSN
1542-2224
Published In/Presented At
Lee, J., Chu, A. K., & Brigido, S. A. (2024). Subtalar joint involvement with tibiotalocalcaneal intramedullary nail arthrodesis. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons, S1067-2516(24)00273-4. Advance online publication. https://doi.org/10.1053/j.jfas.2024.10.009
Disciplines
Medicine and Health Sciences
PubMedID
39490608
Department(s)
Department of Surgery
Document Type
Article