Tomeno B, Arama T
Rev Chir Orthop Reparatrice Appar Mot. 1986;72(2):147-9.
The authors describe an original technique of combined tibio-talar and subtalar arthrodesis. They use an anterior approach and remove a bony cylinder, using a trephine driven through the talus and the calcaneus. The cylinder is then replaced upside down, the calcaneal part of the cylinder crossing the subtalar joint. The tibio-talar joint is fixed by two screws. The technique is indicated in cases of talar necrosis with minimal deformity of the foot. It is intended to decrease the incidence of skin necrosis. Four successful cases are reported.
作者描述了一种胫距和距下关节联合融合术的原创技术。他们采用前路入路，使用骨钻穿过距骨和跟骨，取出一个骨柱。然后将骨柱倒置替换，骨柱的跟骨部分穿过距下关节。胫距关节用两枚螺钉固定。该技术适用于足部畸形最小的距骨坏死病例。旨在降低皮肤坏死的发生率。报告了4例成功病例。
