Burns PR, Dunse A: Tibiotalocalcaneal arthrodesis for foot and ankle deformities. Clin Podiatr Med Surg 34: 357, 2017.
Asomugha EU, Hartog D, Bryan D, et al: Tibiotalocalcaneal fusion for severe deformity and bone loss. J Am Acad Orthop Surg 24: 125, 2016.
Gross JB, Belleville R, Nespola A, et al: 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, 2014.
Rammelt S, Pyrc J, Agren PH, et al: Tibiotalocalcaneal fusion using the hindfoot arthrodesis nail: a multicenter study. Foot Ankle Int 34: 1245, 2013.
Dujela M, Hyer CF, Berlet GC: Rate of subtalar joint arthrodesis after retrograde tibiotalocalcaneal arthrodesis with intramedullary nail fixation: evaluation of the RAIN database. Foot Ankle Spec 11: 410, 2018.
Lee BH, Fang C, Kunnasegaran R, et al: Tibiotalocalcaneal arthrodesis with the hindfoot arthrodesis nail: a prospective consecutive series from a single institution. J Foot Ankle Surg 57: 23, 2018.
Griffin MJ, Coughlin MJ: Evaluation of midterm results of the Panta Nail: an active compression tibiotalocalcaneal arthrodesis device. J Foot Ankle Surg 57: 74, 2018.
Peterson KS, Chapman WD, Hyer CF, et al: Short-term radiographic results and technique of tibiotalocalcaneal arthrodesis with a posterior anatomic locking plate. J Foot Ankle Surg 55: 906, 2016.
Gorman TM, Beals TC, Nickisch F, et al: Hindfoot arthrodesis with the blade plate: increased risk of complications and nonunion in a complex patient population. Clin Orthop Relat Res 474: 2280, 2016.
Devrim O, Avni IB, Abdi K, et al: Tibiotalocalcaneal arthrodesis by using proximal humeral locking plate. Acta Orthop Traumatol Turc 50: 389, 2016.
Fan J, Zhang X, Luo Y, et al: Tibiotalocalcaneal (TTC) arthrodesis with reverse PHILOS plate and medial cannulated screws with lateral approach. BMC Musculoskelet Disord 18: 317, 2017.
Gutteck N, Schilde S, Reichel M, et al: Posterolateral plate fixation with Pantalarlock is more stable than nail fixation in tibiotalocalcaneal arthrodesis in a biomechanical cadaver study. Foot Ankle Surg 26: 328, 2020.
DiDomenico LA, Wargo-Dorsey M: Tibiotalocalcaneal arthrodesis using a femoral locking plate. J Foot Ankle Surg 51: 128, 2011.
Chiodo CP, Acevedo JI, Sammarco VJ, et al: Intramedullary rod fixation compared with blade-plate-and-screw fixation for tibiotalocalcaneal arthrodesis: a biomechanical investigation. J Bone Joint Surg Am 85: 2425, 2003.
Doornink J, Fitzpatrick DC, Boldhaus S, et al: Effects of hybrid plating with locked and nonlocked screws on the strength of locked plating constructs in the osteoporotic diaphysis. J Trauma 69: 411, 2010.
Zhang C, Shi Z, Mei G: Locking plate versus retrograde intramedullary nail fixation for tibiotalocalcaneal arthrodesis: a retrospective analysis. Indian J Orthop 49: 227, 2015.
DeVries JG, Berlet GC, Hyer CF: Predictive risk assessment for major amputation after tibiotalocalcaneal arthrodesis. Foot Ankle Int 34: 846, 2013.
Marin C, Luyten FP, Van der Schueren B, et al: The impact of type 2 diabetes on bone fracture healing. Front Endocrinol (Lausanne) 9: 6, 2018.
Myers TG, Lowery NJ, Frykberg RG, et al: Ankle and hindfoot fusions: comparison of outcomes in patients with and without diabetes. Foot Ankle Int 33: 20, 2012.
Lee M, Choi WJ, Han SH, et al: Uncontrolled diabetes as a potential risk factor in tibiotalocalcaneal fusion using a retrograde intramedullary nail. Foot Ankle Surg 24: 542, 2018.
Sammarco VJ: Superconstructs in the treatment of Charcot foot deformity: plantar plating, locked plating, and axial screw fixation. Foot Ankle Clin 2009 14: 393, 2009.
Background: Herein, we present a case series of tibiotalocalcaneal arthrodesis (TTCA) with a distal femoral locking plate and describe the short-term clinical and radiographic results of the procedure.
Methods: We performed a case review of four patients with hindfoot and ankle pathology who had been treated with a TTCA using a distal femoral locking plate (Depuy Synthes, Zimmer Biomet) by a single surgeon (H.A.H.) from January 2018 to December 2020.
Results: At final follow-up, there was a 75% complication rate (3/4) with two developing a nonunion of the ankle joint and one developing a postoperative wound and surgical site infection.
Conclusions: Lateral locking plate fixation with a distal femoral locking plate system may be an alternative fixation option for tibiotalocalcaneal fusions in complex patients. However, a larger sample size with longer term follow-up is needed to make any significant recommendations on the use of this plating system.