An Off-Label Use of a Tensioned Proximal Humerus Plate for Tibiotalar Fusion: A Case Report. Issue 4 (18th October 2022)

• Record Type: Journal Article
• Authors: Aneja, Arun; Sneed, Chandler R.; Pectol, Richard W.; Kavolus, Matthew W.; Foster, Jeffrey A.; Kinchelow, Daria L.
• Is Part Of: JBJS case connector. Volume 12:Issue 4(2022)
• Publication Date: 2022-10-18
• Subjects: elderly -- male -- pilon fracture -- tibiotalar fusion -- ankle arthrodesis -- proximal humerus plate -- tibiotalar fusion plate -- intraarticular -- comminution -- pilon -- ankle -- tibia -- tibial plafond -- talus -- fusion; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.22.00576
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 70-year-old man presented with a left pilon fracture after a 10-foot fall from a ladder. The severe amount of comminution, joint destruction, and impaction from this injury eventually resulted in a tibiotalar fusion. Owing to multiple tibiotalar fusion plates not being long enough to span the extent of the fracture, a tensioned proximal humerus plate was used as an alternative. Conclusion: We do not endorse the off-label use of a tensioned proximal humerus plate for all tibiotalar fusions; however, we do believe that this is a useful technique in certain situations with large zones of distal tibial comminution.