Erschienen in:
01.01.2011 | Original Paper
Reconstruction after wide resection of the entire distal fibula in malignant bone tumours
verfasst von:
Ralf Dieckmann, Helmut Ahrens, Arne Streitbürger, Tymoteusz Borys Budny, Marcel-Philipp Henrichs, Volker Vieth, Carsten Gebert, Jendrik Hardes
Erschienen in:
International Orthopaedics
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Ausgabe 1/2011
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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.