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Outcomes of Defect Management at Tibiotalocalcaneal Fusion Treated with Innovative ‘Bamboo Hut’ Technique

Foot & ankle orthopaedics, 2019-10, Vol.4 (4), p.2473011419 [Peer Reviewed Journal]

The Author(s) 2019 ;The Author(s) 2019. This work is licensed under the Creative Commons Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s) 2019 2019 American Orthopaedic Foot & Ankle Society, unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses. ;ISSN: 2473-0114 ;EISSN: 2473-0114 ;DOI: 10.1177/2473011419S00378

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  • Title:
    Outcomes of Defect Management at Tibiotalocalcaneal Fusion Treated with Innovative ‘Bamboo Hut’ Technique
  • Author: Shah, Rajiv
  • Subjects: Bamboo
  • Is Part Of: Foot & ankle orthopaedics, 2019-10, Vol.4 (4), p.2473011419
  • Description: Category: Hindfoot Introduction/Purpose: Tibiotalocalcaneal (TTC) fusion is a salvage procedure for post-traumatic as well as neuropathic cases. Many of these cases are characterised by some or other form of loss of talus resulting in a defect. At TTC fusion, prevention of shortening following such a defect is a challenge. Though allografts have helped solve this issue, they may not be easily available in developing countries. A retrospective analysis of prospectively collected data of 14 cases of TTC fusion with loss of talus is presented here. Cases were managed with innovative defect bridging ‘Bamboo Hut’ technique. Methods: Cases with either preoperative or perioperative loss of talus who required bridging of defect were included in the present study. Resultant defect following excision of the talus was bridged with two or three vertically placed fibular strut grafts. Grafts were snugly tied with each other with sutures to prepare a construct like a hut supported with wooden steaks (Bamboo). Fixation was carried out with indigenous TTC nail with a built-in compression device to generate compression of grafts between tibia and calcaneus. Results: Present series comprised of 6 post-traumatic cases, 7 cases of diabetic Charcot neuroarthropathy and 1 case of neuroarthropathy following operated meningomyelocele. Cases were followed up for an average period of 36 months with the average time to union being six months. All posttraumatic cases went on to the bony union but two out of eight neuropathy cases ended up in fibrous union with collapse & loss of fixation. Wound healing issues were noticed in two cases. None of the cases required amputation. Conclusion: With non-availability of allografts, prevention of shortening at TTC fusion is a challenge. This issue can be successfully managed with innovative ‘Bamboo Hut’ grafting technique, supported with in-built compression of the fusion site with the use of an indigenous nail.
  • Publisher: Los Angeles, CA: SAGE Publications
  • Language: English
  • Identifier: ISSN: 2473-0114
    EISSN: 2473-0114
    DOI: 10.1177/2473011419S00378
  • Source: SAGE Open Access Journals
    PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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