1530_Godoy.pdf

1、What to do now?Septic ankle fusion.Clin Podiatr Med Surg 42.2025.Stone et al You can always try this There is even an algorithm.Initial stage:Infection control through debridement,biopsies,and use of antibiotic cement spacers.Second stage:Application of external fixation,more biopsies,and antibiotic

2、 treatment.Final stage:Removal of external fixator and internal fixation if instability persists.Fusion success rates vary Risk factors for complications include uncontrolled diabetes,smoking,and vascular insufficiencyTTC ARTHRODESIS WITH LLD NONUNIONA major problem associated with TTC arthrodesis i

3、n cases with severe bone loss involving the tibia,fibula,and/or talus has been restoring the physiologic hindfoot height and leg length.To date,no consistent,systematic operative technique has been presented for TTC arthrodesis in cases with excessive bone loss.The nonunion rates have remained high,

4、and different augmentation materials have been proposedAnkle Salvage Surgery with Autologous Circular Pillar Fibula Augmentation and Intramedullary Hindfoot NailPaul,Jochen et al.The Journal of Foot and Ankle Surgery,Volume 53,Issue 5,601-605WHEN ALL ELSE FAILS,USE THE FIBULAJohanna Godoy DPM,FACFAS

5、TOURO NEW YORK COLLEGE OF PODIATRIC MEDICINE GODOY FOOT AND ANKLE CENTERDisclaimerStrykerThe views and opinions expressed in this presentation are solely mine and are not influenced by any association with Stryker or any other external entity.This presentation is intended to provide unbiased and obj

6、ective information for the benefit of the audienceObjectives Understand challenges in tibiotalocalcaneal(TTC)arthrodesis with large bone loss.Explore use of fibular autografts and vascularized techniques.Review evidence-based outcomes and complications.Identify patient-specific considerations(e.g.,d