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  • Title: An original fibular shortening osteotomy technique in tibiotalar arthrodesis.
    Author: Mehdi N, Bernasconi A, Laborde J, Lintz F.
    Journal: Orthop Traumatol Surg Res; 2017 Sep; 103(5):717-720. PubMed ID: 28552836.
    Abstract:
    Tibiotalar arthrodesis (TTA) is the gold-standard treatment for advanced ankle osteoarthritis. We describe an original fibular shortening osteotomy (FSO) performed during TTA, to allow complete talar ascension and reduce the nonunion rate. Forty-two FSOs were associated to TTA (19 fixed by cross-screwing and 23 by anatomic plates) and assessed clinically and radiographically. At 24.7 months' follow-up, fusion rates were 97.6% for TTA and 100% for FSO, with mean fusion time of 5.2 months. One infection and 1 nonunion (4.7%) required further surgery, with complete resolution. Radiological and clinical outcome in TTA, lack of specific complications of FSO and ease of implementation encourage us to publish the technique.
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