Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2016

01-04-2016 | Ankle

Tibiotalocalcaneal arthrodesis using an intramedullary nail: a systematic review

Authors: Francesco Franceschi, Edoardo Franceschetti, Guglielmo Torre, Rocco Papalia, Kristian Samuelsson, Jón Karlsson, Vincenzo Denaro

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2016

Login to get access

Abstract

Purpose

Tibiotalocalcaneal arthrodesis is aimed to block the ankle joint motion in cases of severe osteoarthritis, avascular necrosis of the talus and/or failure of arthroplasty operations. This systematic review was carried out to evaluate the clinical outcome after tibiotalocalcaneal arthrodesis using intramedullary nail either open and arthroscopically assisted. Focus was on the success rate of the procedure in terms of union and complications and on the comparison between the techniques.

Methods

The databases PubMed (Medline), EMBASE and Cochrane Library were searched in order to retrieve relevant studies. All therapeutic level 1–4 studies involving humans with intramedullary nail fixation technique were included. Only studies written in English, Italian, French, Spanish and German were included. Data related to the type of surgery, complications and clinical outcomes were extracted and analysed.

Results

A total of 83 studies were identified, of which 32 studies were eligible for inclusion; 31 case series and one randomized controlled trial. The main reported outcome score was the American Orthopaedic Foot and Ankle Society scale. Almost, all the included studies reported higher than 50 % union rates and a significant improvement in terms of the clinical and mechanical ankle function after treatment.

Conclusions

Results suggest that satisfactory outcomes can be achieved by tibiotalocalcaneal arthrodesis using intramedullary nailing. Low complication rates contribute to make this a safe procedure. No comparison can be done between arthroscopic and open technique, due to the lack of scientific works on the first one.

Level of evidence

IV.
Literature
1.
Acosta R, Ushiba J, Cracchiolo A 3rd (2000) The results of a primary and staged pantalar arthrodesis and tibiotalocalcaneal arthrodesis in adult patients. Foot Ankle Int 21:182–194PubMed
2.
Alvarez RG, Barbour TM, Perkins TD (1994) Tibiocalcaneal arthrodesis for nonbraceable neuropathic ankle deformity. Foot Ankle Int 15:354–359CrossRefPubMed
3.
Anderson T, Linder L, Rydholm U, Montgomery F et al (2005) Tibiotalocalcaneal arthrodesis as a primary procedure using a retrograde intramedullary nail: a retrospective study of 26 patients with rheumatoid arthritis. Acta Orthop 76:580–587CrossRefPubMed
4.
Anderson T, Rydholmc U, Besjakovb J, Montgomerya F, Carlssona A (2005) Tibiotalocalcaneal fusion using retrograde intramedullary nails as a salvage procedure for failed total ankle prostheses in rheumatoid arthritis A report on sixteen cases. Foot and Ankle Surg 11:143–147CrossRef
5.
Barrett GR, Meyer LC, Bray EW 3rd, Taylor RG Jr, Kolb FJ (1981) Pantalar arthrodesis: a long-term follow-up. Foot Ankle 1:279–283CrossRefPubMed
6.
Bevernage BD, Deleu PA, Maldague P, Leemrijse T (2010) Technique and early experience with posterior arthroscopic tibiotalocalcaneal arthrodesis. Orthop Traumatol Surg Res 96:469–475CrossRefPubMed
7.
Boer R, Mader K, Pennig D, Verheyen CC (2007) Tibiotalocalcaneal arthrodesis using a reamed retrograde locking nail. Clin Orthop Relat Res 463:151–156PubMed
8.
Brodsky JW, Verschae G, Tenenbaum S (2014) Surgical correction of severe deformity of the ankle and hindfoot by arthrodesis using a compressing retrograde intramedullary nail. Foot Ankle Int 35:360–367CrossRefPubMed
9.
Budnar VM, Hepple S, Harries WG, Livingstone JA, Winson I (2010) Tibiotalocalcaneal arthrodesis with a curved, interlocking, intramedullary nail. Foot Ankle Int 31:1085–1092CrossRefPubMed
10.
Caravaggi C, Cimmino M, Caruso S, Dalla Noce S (2006) Intramedullary compressive nail fixation for the treatment of severe Charcot deformity of the ankle and rear foot. J Foot Ankle Surg 45:20–24CrossRefPubMed
11.
Carrier DA, Harris CM (1991) Ankle arthrodesis with vertical Steinmann’s pins in rheumatoid arthritis. Clin Orthop Relat Res 268:10–14PubMed
12.
Chettiar K, Halder S, Bowman N, Cottam H et al (2011) Tibio-talo-calcaneo fusion using a locked intramedullary compressive nail. Foot and Ankle Surg 17:228–232CrossRef
13.
Dalla Paola L, Volpe A, Varotto D, Postorino A et al (2007) Use of a retrograde nail for ankle arthrodesis in Charcot neuroarthropathy: a limb salvage procedure. Foot Ankle Int 28:967–970CrossRefPubMed
14.
De Smet K, De Brauwer V, Burssens P, Van Ovost E, Verdonk R (2003) Tibiocalcaneal Marchetti-Vicenzi nailing in revision arthrodesis for posttraumatic pseudarthrosis of the ankle. Acta Orthop Belg 69:42–48PubMed
15.
De Vries JG, Berlet GC, Hyer CF (2012) Union rate of tibiotalocalcaneal nails with internal or external bone stimulation. Foot Ankle Int 33:969–978CrossRefPubMed
16.
Devries JG, Philbin TM, Hyer CF (2010) Retrograde intramedullary nail arthrodesis for avascular necrosis of the talus. Foot Ankle Int 31:965–972CrossRefPubMed
17.
Donnenwerth MP, Roukis TS (2013) Tibio-talo-calcaneal arthrodesis with retrograde compression intramedullary nail fixation for salvage of failed total ankle replacement: a systematic review. Clin Podiatr Med Surg 30:199–206CrossRefPubMed
18.
Faraj AA, Loveday DT (2014) Functional outcome following an ankle or subtalar arthrodesis in adults. Acta Orthop Belg 80:276–279PubMed
19.
Fazal MA, Garrido E, Williams RL (2006) Tibiotalocalaneal arthrodesis by retrograde intramedullary nail and bone grafting. Foot and Ankle Surg 12:185–190CrossRef
20.
Fries JF (1983) The assessment of disability: from first to future principles. Br J Rheumatol 22:48–58CrossRefPubMed
21.
Fujimori J, Yoshino S, Koiwa M, Nakamura H et al (1999) Ankle arthrodesis in rheumatoid arthritis using an intramedullary nail with fins. Foot Ankle Int 20:485–490CrossRefPubMed
22.
Gavaskar AS, Chowdary N (2009) Tibiotalocalcaneal arthrodesis using a supracondylar femoral nail for advanced tuberculous arthritis of the ankle. J Orthop Surg (Hong Kong) 17:321–324
23.
Goebel M, Gerdesmeyer L, Muckley T, Schmitt-Sody M et al (2006) Retrograde intramedullary nailing in tibiotalocalcaneal arthrodesis: a short-term, prospective study. J Foot Ankle Surg 45:98–106CrossRefPubMed
24.
Gross JB, Belleville R, Nespola A, Poircuitte JM et al (2014) Influencing factors of functional result and bone union in tibiotalocalcaneal arthrodesis with intramedullary locking nail: a retrospective series of 30 cases. Eur J Orthop Surg Traumatol 24:627–633CrossRefPubMed
25.
Haaker R, Kohja EY, Wojciechowski M, Gruber G (2010) Tibio-talo-calcaneal arthrodesis by a retrograde intramedullary nail. Ortop Traumatol Rehabil 12:245–249PubMed
26.
Hammett R, Hepple S, Forster B, Winson I (2005) Tibiotalocalcaneal (hindfoot) arthrodesis by retrograde intramedullary nailing using a curved locking nail. The results of 52 procedures. Foot Ankle Int 26:810–815PubMed
27.
Hanson TW, Cracchiolo A 3rd (2002) The use of a 95 degree blade plate and a posterior approach to achieve tibiotalocalcaneal arthrodesis. Foot Ankle Int 23:704–710CrossRefPubMed
28.
Kamath S, Ramamohan N, Kelly IG (2005) Tibiotalocalcaneal arthrodesis in rheumatoid arthritis using the supracondylar nail. Foot and Ankle Surg 11:75–79CrossRef
29.
Kile TA, Donnelly RE, Gehrke JC, Werner ME, Johnson KA (1994) Tibiotalocalcaneal arthrodesis with an intramedullary device. Foot Ankle Int 15:669–673CrossRefPubMed
30.
Kitaoka HB, Anderson PJ, Morrey BF (1992) Revision of ankle arthrodesis with external fixation for non-union. J Bone Joint Surg Am 74:1191–1200PubMed
31.
Kitaoka HB, Romness DW (1992) Arthrodesis for failed ankle arthroplasty. J Arthroplasty 7:277–284CrossRefPubMed
32.
Mader K, Verheyen CC, Gausepohl T, Pennig D (2007) Minimally invasive ankle arthrodesis with a retrograde locking nail after failed fusion. Strateg Trauma Limb Reconstr 2:39–47CrossRef
33.
Mendicino RW, Catanzariti AR, Saltrick KR, Dombek MF et al (2004) Tibiotalocalcaneal arthrodesis with retrograde intramedullary nailing. J Foot Ankle Surg 43:82–86CrossRefPubMed
34.
Millett PJ, O’Malley MJ, Tolo ET, Gallina J et al (2002) Tibiotalocalcaneal fusion with a retrograde intramedullary nail: clinical and functional outcomes. Am J Orthop (Belle Mead NJ) 31:531–536
35.
Moher D, Liberati A, Tetzlaff J, Altman DG, Group TP (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Plos Med 6:e123–e130
36.
Morrey BF, Wiedeman GP Jr (1980) Complications and long-term results of ankle arthrodeses following trauma. J Bone Joint Surg Am 62:777–784PubMed
37.
Nielsen KK, Linde F, Jensen NC (2008) The outcome of arthroscopic and open surgery ankle arthrodesis: a comparative retrospective study on 107 patients. Foot Ankle Surg 14:153–157CrossRefPubMed
38.
Niinimaki TT, Klemola TM, Leppilahti JI (2007) Tibiotalocalcaneal arthrodesis with a compressive retrograde intramedullary nail: a report of 34 consecutive patients. Foot Ankle Int 28:431–434CrossRefPubMed
39.
Noonan T, Pinzur M, Paxinos O, Havey R, Patwardhin A (2005) Tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail: a biomechanical analysis of the effect of nail length. Foot Ankle Int 26:304–308PubMed
40.
Pelton K, Hofer JK, Thordarson DB (2006) Tibiotalocalcaneal arthrodesis using a dynamically locked retrograde intramedullary nail. Foot Ankle Int 27:759–763PubMed
41.
Pinzur MS, Kelikian A (1997) Charcot ankle fusion with a retrograde locked intramedullary nail. Foot Ankle Int 18:699–704CrossRefPubMed
42.
Pinzur MS, Noonan T (2005) Ankle arthrodesis with a retrograde femoral nail for Charcot ankle arthropathy. Foot Ankle Int 26:545–549PubMed
43.
Rammelt S, Pyrc J, Agren PH, Hartsock LA et al (2013) Tibiotalocalcaneal fusion using the hindfoot arthrodesis nail: a multicenter study. Foot Ankle Int 34:1245–1255CrossRefPubMed
44.
Russotti GM, Johnson KA, Cass JR (1988) Tibiotalocalcaneal arthrodesis for arthritis and deformity of the hind part of the foot. J Bone Joint Surg Am 70:1304–1307PubMed
45.
Schuh R, Hofstaetter J, Krismer M, Bevoni R et al (2012) Total ankle arthroplasty versus ankle arthrodesis. Comparison of sports, recreational activities and functional outcome. Int Orthop 36:1207–1214CrossRefPubMedPubMedCentral
46.
Sekiya H, Horii T, Kariya Y, Hoshino Y (2006) Arthroscopic-assisted tibiotalocalcaneal arthrodesis using an intramedullary nail with fins: a case report. J Foot Ankle Surg 45:266–270CrossRefPubMed
47.
Sekiya H, Horii T, Sugimoto N, Hoshino Y (2011) Arthroscopic tibiotalocalcaneal arthrodesis with intramedullary nail with fins: a case series. J Foot Ankle Surg 50:589–592CrossRefPubMed
48.
Tavakkolizadeh A, Klinke M, Davies MS (2006) Tibiotalocalcaneal arthrodesis in treatment of hindfoot pain and deformity. Foot Ankle Surg 12:59–64CrossRef
49.
Thomason K, Eyres KS (2008) A technique of fusion for failed total replacement of the ankle: tibio-allograft-calcaneal fusion with a locked retrograde intramedullary nail. J Bone Joint Surg Br 90:885–888CrossRefPubMed
50.
Thordarson DB, Chang D (1999) Stress fractures and tibial cortical hypertrophy after tibiotalocalcaneal arthrodesis with an intramedullary nail. Foot Ankle Int 20:497–500CrossRefPubMed
51.
y Rico JV, Rodriguez-Martin J, Parra-Sanchez G, Marti Lopez-Amor C (2013) Arthroscopic tibiotalocalcaneal arthrodesis with locked retrograde compression nail. J Foot Ankle Surg 52:523–528CrossRef
Metadata
Title
Tibiotalocalcaneal arthrodesis using an intramedullary nail: a systematic review
Authors
Francesco Franceschi
Edoardo Franceschetti
Guglielmo Torre
Rocco Papalia
Kristian Samuelsson
Jón Karlsson
Vincenzo Denaro
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3548-1

Other articles of this Issue 4/2016

Knee Surgery, Sports Traumatology, Arthroscopy 4/2016 Go to the issue

Erratum

Erratum to: Reliability of classification for post-traumatic ankle osteoarthritis

Ankle

Rehabilitation after anatomical ankle ligament repair or reconstruction

Ankle

The Hemi-Castaing ligamentoplasty for chronic lateral ankle instability does not modify proprioceptive, muscular and posturographic parameters

Ankle

Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle

Ankle

Minimally invasive surgical treatment for chronic ankle instability: a systematic review

Ankle

Iatrogenic articular cartilage injuries during ankle arthroscopy