Case Series: Allograft Tibiotalocalcaneal Arthrodesis Utilizing Fresh Talus.

ABSTRACT:

Background

Talar body osteonecrosis can be a difficult condition to treat. Recent reports highlight a high rate of failure with the use of femoral head allograft. Additionally, higher rates of failure have been reported in diabetics and smokers. Our institution attempted a novel technique utilizing fresh allograft talus in attempt to improve on a reported 50% nonunion rate.

Methods

Five patients who underwent tibiotalocalcaneal (TTC) fusion utilizing fresh talar allograft were clinically and radiographically reviewed to evaluate fusion rates and functional outcomes.

Results

Our case series of 5 patients had a 100% union rate, including 2 former smokers and 2 diabetic patients. There were no infections or complications. Functional outcomes also improved in our series o

SUBMITTER: Vaughn J 

PROVIDER: S-EPMC8696819 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature