Abstract

BackgroundThe purpose of this study was to assess the outcomes of distal tibial structural allograft to obtain a stable TTC fusion. MethodsRetrospectively, ten patients were carried out with a minimum one year follow-up. The median age was 72 (33–81). The median BMI was 28 (24–33). Indications for TTC arthrodesis included failed total ankle arthroplasty (n=7 patients), prior nonunion (n=2 patients), and a trauma injury. ResultsUnion rate was 80%. The median initial height of the distal tibial allograft was 19mm (14–24mm). In seven cases the allograft did not lose height. The AOFAS score median was 69 (31–84). SF-12 median physical component was 39 (30–53), and 59 (23–62) for mental component. The VAS median was 2 (0–8). ConclusionsTTC using distal tibial allograft shows a lower rate of collapse than other structural grafts and provides a fusion rate higher or in accordance with the literature. Level of evidenceLevel IV, retrospective case series.

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