Artrodesis tibiotalcolcánea con placa humeral bloqueada

Abstract

There are many options for tibiotalocalcaneal arthrodesis. The aim of this study is to retrospectively review the role of the inverted proximal humeral locking plate (Philos, Synthes) to fix this arthrodesis. Material and Method: between July 2007 and July 2010, 14 tibiotalocalcaneal arthrodesis were performed in 14 patients with the inverted proximal humeral locking plate thru an extended lateral ankle approach resecting the distal fibula. Patients preoperative diagnosis were: rheumathoid arthritis, Charcot arthropaty and posttraumatic osteoarthrosis. Results: patients were followed for a period between 7 months and 3 years (19 months). All the patients fused they arthrodesis in a period of 3 to 6 months. Conclusion: this study showed that the inverted proximal humeral locking plate is an excellent option for tibiotalocalcaneal arthrodesis because of the high fusion rate and the facility for correct hindfoot alignment because of the plate shape.