{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:40:58Z","timestamp":1792104058209,"version":"4.4.0"},"reference-count":41,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2013,4,23]],"date-time":"2013-04-23T00:00:00Z","timestamp":1366675200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Tibiotalocalcaneal arthrodesis is a salvage option for severe ankle and hindfoot deformities, arthritis of the ankle and subtalar joints, avascular necrosis of the talus, failed total ankle arthroplasty, and Charcot arthropathy. This multicenter study reports clinical experience with the hindfoot arthrodesis nail (HAN) in the treatment of patients with severe ankle and foot abnormalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Seven participating clinics from Europe and North America recruited 38 patients who underwent ankle\/subtalar arthrodesis using retrograde nailing with the HAN. Information was collected regarding technical details, complications, and functional and quality of life outcomes (Short Form-36 [SF-36], American Academy of Orthopaedic Surgeons\u2014Foot and Ankle Outcomes [AAOS-FAO], and numeric rating scale [NRS] for pain) after an average of 2 years of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The rate of superficial wound infection was 2.4%. No deep soft tissue or bone infections were reported. The overall union rate was 84%. At the time of follow-up, low pain levels were reported, with a mean NRS of 2.2; the mean AAOS-FAO score was 38; and the SF-36 mean physical and mental health component scores were 41.2 and 52.5, respectively. All 13 patients who were unable to work prior to surgery were able to fully return to work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The HAN offered a safe and reliable salvage option for tibiotalocalcaneal arthrodesis in patients with severe ankle and hindfoot disease. It achieved acceptable functional outcome and low complication rates despite the challenging patient cohort. A considerable socioeconomic benefit appeared to result based on the high proportion of patients who were able to return to work postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100713487526","type":"journal-article","created":{"date-parts":[[2013,4,24]],"date-time":"2013-04-24T00:27:28Z","timestamp":1366763248000},"page":"1245-1255","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":119,"title":["Tibiotalocalcaneal Fusion Using the Hindfoot Arthrodesis Nail"],"prefix":"10.1177","volume":"34","author":[{"given":"Stefan","family":"Rammelt","sequence":"first","affiliation":[{"name":"Department of Trauma & Reconstructive Surgery, University Hospital Carl Gustav Carus, Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaroslaw","family":"Pyrc","sequence":"additional","affiliation":[{"name":"Department of Trauma & Reconstructive Surgery, University Hospital Carl Gustav Carus, Dresden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Per-Henrik","family":"\u00c5gren","sequence":"additional","affiliation":[{"name":"Stockholms Fotkirurgklinik Sophiahemmet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Langdon A.","family":"Hartsock","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina, Charleston, SC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Cronier","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire d\u2019Angers, Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Friscia","sequence":"additional","affiliation":[{"name":"Eisenhower Desert Orthopedics Center, Rancho Mirage, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigvard T.","family":"Hansen","sequence":"additional","affiliation":[{"name":"Harborview Medical Center, Seattle, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Schaser","sequence":"additional","affiliation":[{"name":"Center for Musculoskeletal Surgery, Charit\u00e9\u2013Universit\u00e4tsmedizin Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Ljungqvist","sequence":"additional","affiliation":[{"name":"AO Clinical Investigation and Documentation, D\u00fcbendorf, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew K.","family":"Sands","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, New York Downtown Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,4,23]]},"reference":[{"key":"bibr1-1071100713487526","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002100302"},{"key":"bibr2-1071100713487526","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0977"},{"key":"bibr3-1071100713487526","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.1085"},{"key":"bibr4-1071100713487526","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200312000-00022"},{"key":"bibr5-1071100713487526","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002101002"},{"key":"bibr6-1071100713487526","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0965"},{"key":"bibr7-1071100713487526","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(01)00349-9"},{"key":"bibr8-1071100713487526","doi-asserted-by":"publisher","DOI":"10.1007\/s00132-005-0865-y"},{"key":"bibr9-1071100713487526","first-page":"245","volume":"12","author":"Haaker R","year":"2010","journal-title":"Orthop Traumatol Rehabil"},{"key":"bibr10-1071100713487526","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502601004"},{"key":"bibr11-1071100713487526","doi-asserted-by":"publisher","DOI":"10.1177\/107110070202300805"},{"key":"bibr12-1071100713487526","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500407"},{"key":"bibr13-1071100713487526","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200405000-00003"},{"key":"bibr14-1071100713487526","first-page":"151","volume-title":"Surgery of the Foot and Ankle","volume":"1989","author":"Johnson KA"},{"key":"bibr15-1071100713487526","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2004.11.003"},{"key":"bibr16-1071100713487526","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401501208"},{"key":"bibr17-1071100713487526","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199803000-00010"},{"key":"bibr18-1071100713487526","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.1212"},{"key":"bibr19-1071100713487526","unstructured":"K\u00fcntscher G. 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