Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis
Tibiotalocalcaneal (TTC) arthrodesis and tibiocalcaneal (TC) arthrodesis are salvage procedures indicated to maintain stability and ambulation in the setting of various debilitating lower extremity conditions. Intramedullary nail fixation has proven to be highly effective in achieving stable union w...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Foot & Ankle Surgery: Techniques, Reports & Cases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667396725000370 |
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| author | Ryan Stone, DPM, AACFAS Trevor Page, DPM Thomas Chang, DPM, FACFAS Byron Hutchinson, DPM, FACFAS |
| author_facet | Ryan Stone, DPM, AACFAS Trevor Page, DPM Thomas Chang, DPM, FACFAS Byron Hutchinson, DPM, FACFAS |
| author_sort | Ryan Stone, DPM, AACFAS |
| collection | DOAJ |
| description | Tibiotalocalcaneal (TTC) arthrodesis and tibiocalcaneal (TC) arthrodesis are salvage procedures indicated to maintain stability and ambulation in the setting of various debilitating lower extremity conditions. Intramedullary nail fixation has proven to be highly effective in achieving stable union when performing TTC and TC arthrodesis procedures. Newer generation intramedullary nail implants feature dynamic compression technology, offering continuous compression across the desired fusion interfaces. Although published data is scarce, emerging literature suggests use of dynamic compression implants may be favorable to static implants, particularly in patients with increased risk of non-union. The primary aim of this paper is to review clinically relevant mechanical testing data that outlines specific mechanical properties of a particular TTC implant (Phantom ActivCore). Specifically, we describe various properties of the implant through objective testing data and describe these findings in a clinically relevant format to provide surgeons with closer insight into dynamic compression technology. Secondarily, we feature three case examples in which this flex coil intramedullary nail was employed by the senior authors (BH &TC) to achieve functional TTC arthrodesis in salvage scenarios. |
| format | Article |
| id | doaj-art-ebc3371b7305415a9fc12fdc44289ced |
| institution | Kabale University |
| issn | 2667-3967 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Foot & Ankle Surgery: Techniques, Reports & Cases |
| spelling | doaj-art-ebc3371b7305415a9fc12fdc44289ced2025-08-20T03:32:04ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672025-01-015210050210.1016/j.fastrc.2025.100502Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesisRyan Stone, DPM, AACFAS0Trevor Page, DPM1Thomas Chang, DPM, FACFAS2Byron Hutchinson, DPM, FACFAS3Virginia Mason Franciscan Medical Center, Burien, WA, USA; Corresponding author.Virginia Mason Franciscan Medical Center, Federal Way, WA, USASonoma County Orthopedic & Podiatric Specialists, Santa Rosa, CA, USAVirginia Mason Franciscan Medical Center, Burien, WA, USATibiotalocalcaneal (TTC) arthrodesis and tibiocalcaneal (TC) arthrodesis are salvage procedures indicated to maintain stability and ambulation in the setting of various debilitating lower extremity conditions. Intramedullary nail fixation has proven to be highly effective in achieving stable union when performing TTC and TC arthrodesis procedures. Newer generation intramedullary nail implants feature dynamic compression technology, offering continuous compression across the desired fusion interfaces. Although published data is scarce, emerging literature suggests use of dynamic compression implants may be favorable to static implants, particularly in patients with increased risk of non-union. The primary aim of this paper is to review clinically relevant mechanical testing data that outlines specific mechanical properties of a particular TTC implant (Phantom ActivCore). Specifically, we describe various properties of the implant through objective testing data and describe these findings in a clinically relevant format to provide surgeons with closer insight into dynamic compression technology. Secondarily, we feature three case examples in which this flex coil intramedullary nail was employed by the senior authors (BH &TC) to achieve functional TTC arthrodesis in salvage scenarios.http://www.sciencedirect.com/science/article/pii/S2667396725000370Tibiotalocalcaneal arthrodesisTibiocalcaneal arthrodesisIntramedullary nailLower extremity reconstruction |
| spellingShingle | Ryan Stone, DPM, AACFAS Trevor Page, DPM Thomas Chang, DPM, FACFAS Byron Hutchinson, DPM, FACFAS Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis Foot & Ankle Surgery: Techniques, Reports & Cases Tibiotalocalcaneal arthrodesis Tibiocalcaneal arthrodesis Intramedullary nail Lower extremity reconstruction |
| title | Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis |
| title_full | Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis |
| title_fullStr | Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis |
| title_full_unstemmed | Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis |
| title_short | Clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis |
| title_sort | clinical and biomechanical analysis of a dynamic compression intramedullary nail for hindfoot and ankle arthrodesis |
| topic | Tibiotalocalcaneal arthrodesis Tibiocalcaneal arthrodesis Intramedullary nail Lower extremity reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2667396725000370 |
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