Journal article
Reconstruction of a missing or insufficient distal fibula in the setting of a total ankle replacement: The Milanese technique
Foot and ankle surgery, Vol.28(2), pp.186-192
02/01/2022
DOI: 10.1016/j.fas.2021.03.007
PMID: 33744103
Abstract
Background: The presence of an intact distal fibula is reported as a prerequisite when considering total ankle replacement and its lack is usually considered a contraindication. The purpose of the study was to describe the results of a surgical technique to reconstruct the distal fibula (Milanese fibular reconstruction technique) in the setting of a total ankle replacement and insufficient fibula. Methods: Retrospective analysis of 15 patients (15 ankles) who underwent rotational fibular reconstruction technique with minimum follow-up of 24 months. Patients were evaluated preoperatively and at the last follow-up with AOFAS Ankle and Hindfoot score, VAS pain scale, SF-12 and range of motion. Standard weightbearing radiographs were used for radiographic assessment. Results: The average of all clinical scores significantly improved (P < .001). The average radiographic parameters showed a neutral alignment. No cases of reabsorption of the new lateral malleolus were observed even in cases with complications that accounted for 2 superficial wound infection and 2 deep infections. Conclusions: The Milanese fibular reconstruction technique can successfully reestablish a lateral strut and in the setting of an ankle prosthesis in patients with an insufficient fibula. (c) 2021 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.
Details
- Title: Subtitle
- Reconstruction of a missing or insufficient distal fibula in the setting of a total ankle replacement: The Milanese technique
- Creators
- Federico G. Usuelli - Humanitas San Pio X, Ankle and Foot Surgery Unit, Milan, Italy.Cesar de Cesar Netto - Univ Iowa, Dept Orthopaed & Rehabil, Iowa City, IA USACamilla Maccario - Humanitas San Pio X, Ankle and Foot Surgery Unit, Milan, Italy.Tommaso Paoli - University of FlorenceRiccardo D'Ambrosi - IRCCS Ist Ortoped Galeazzi, Milan, ItalyCristian Indino - Humanitas San Pio X, Ankle and Foot Surgery Unit, Milan, Italy.
- Resource Type
- Journal article
- Publication Details
- Foot and ankle surgery, Vol.28(2), pp.186-192
- Publisher
- Elsevier
- DOI
- 10.1016/j.fas.2021.03.007
- PMID
- 33744103
- ISSN
- 1268-7731
- eISSN
- 1460-9584
- Number of pages
- 7
- Language
- English
- Date published
- 02/01/2022
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984303977902771
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