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Complex Ankle Fusion and Tibial Lengthening Using the LATN Technique

Limb Lengthening and Reconstruction Surgery Case Atlas

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Abstract

Complex ankle fusion is a common condition that has responded well to the Ilizarov method. Circular fixation has been successful at correcting deformity, obtaining union, and equalizing leg length through tibial osteotomy. Prolonged time wearing the external fixator is associated with large lengthenings. This long consolidation period has been curtailed by the lengthening and then nailing (LATN) technique which utilizes reamed IM nailing as soon as the distraction phase of lengthening is complete. Stress fracture is an uncommon sequela of ankle fusion that will also be covered in this case report.

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References and Suggested Reading

  • Fourman MS, Borst EW, Bogner E, Rozbruch SR, Fragomen A (2014) Recombinant human BMP-2 increases the incidence and rate of healing in complex ankle arthrodesis. Clin Orthop Rel Research (Epub) 472(2):732–9

    Google Scholar 

  • Fragomen AT, Borst E, Schachter L, Lyman S, Rozbruch SR (2012) Complex ankle arthrodesis using the Ilizarov method yields high rate of fusion. Clin Orthop Realt Res 470(10):2864–2873

    Article  Google Scholar 

  • Lidor C, Ferris LR, Hall R, Alexander IJ, Nunley JS (1997) Stress fracture of the tibia after arthrodesis of the ankle or hindfoot. J Bone Joint Surg Am 79(4):558–564

    Article  CAS  PubMed  Google Scholar 

  • Rozbruch SR, Kleinman D, Fragomen A, Ilizarov S (2008) Limb lengthening and then insertion of an intramedullary nail. A case matched comparison. Clin Orthop

    Google Scholar 

  • Tellisi N, Fragomen A, Ilizarov S, Rozbruch SR (2008) Limb salvage reconstruction of the ankle with fusion and simultaneous tibial lengthening using the Ilizarov/Taylor Spatial Frame. HSS J 4:32–42

    Article  PubMed Central  PubMed  Google Scholar 

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Authors and Affiliations

  1. Limb Lengthening and Complex Reconstruction, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA

    Austin T. Fragomen

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  1. Austin T. Fragomen
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Correspondence to Austin T. Fragomen .

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Editors and Affiliations

  1. Hospital for Special Surgery, New York, New York, USA

    S. Robert Rozbruch

  2. Shriner's Hospital for Children, Montreal, Québec, Canada

    Reggie Hamdy

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© 2014 Springer International Publishing Switzerland

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Fragomen, A.T. (2014). Complex Ankle Fusion and Tibial Lengthening Using the LATN Technique. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-02767-8_102-1

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  • DOI: https://doi.org/10.1007/978-3-319-02767-8_102-1

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  • Publisher Name: Springer, Cham

  • Online ISBN: 978-3-319-02767-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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Chapter history

  1. Latest

    Complex Ankle Fusion and Tibial Lengthening Using the LATN Technique
    Published:
    12 March 2015

    DOI: https://doi.org/10.1007/978-3-319-02767-8_102-2

  2. Original

    Complex Ankle Fusion and Tibial Lengthening Using the LATN Technique
    Published:
    21 October 2014

    DOI: https://doi.org/10.1007/978-3-319-02767-8_102-1

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