Reconstruction after wide resection of the entire distal fibula in malignant bone tumours.
Dieckmann R, Ahrens H, Streitbürger A, Budny TB, Henrichs MP, Vieth V, Gebert C, Hardes J
Research article (journal)Abstract
In this study we present a series of patients (n = 11) with resection of the entire distal fibula in the case of sarcoma or metastasis. Moreover, we describe a new method to restore ankle stability with a tibiotalocalcaneal arthrodesis using a retrograde hindfoot nail (n = 4) in contrast to tibiotalar arthrodesis with screws (n = 5). The screw fixation failed in two patients due to osteopoenic bone. The crucial benefits of an arthrodesis with a retrograde nail are a stable arthrodesis, intramedullary stabilisation of the tibia and avoidance of extrinsic material in the wound area. An arthrodesis with a retrograde nail is a good alternative for reconstruction after a wide distal fibula resection. The additional arthrodesis of the subtalar joint was not associated with worse functional results in the MSTS and TESS scores.
Details about the publication
Authors from the University of Münster
| Ahrens, Helmut | General Orthopaedics Clinic |
| Budny, Tymoteusz Borys | General Orthopaedics Clinic |
| Dieckmann, Ralf | General Orthopaedics Clinic |
| Hardes, Jendrik | General Orthopaedics Clinic |
| Henrichs, Marcel-Philipp | General Orthopaedics Clinic |
| Streitbürger, Arne | General Orthopaedics Clinic |
| Vieth, Volker | Clinic of Radiology |