{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T08:30:17Z","timestamp":1761294617833,"version":"3.41.2"},"reference-count":18,"publisher":"FapUNIFESP (SciELO)","issue":"spe2","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta ortop. bras."],"abstract":"<jats:p>ABSTRACT  Objective  Present the preliminary results of a case series using the surgical ankle arthrodesis technique with an intramedullary retrograde nail for bone tumors.  Methods  We present the preliminary data of 4 patients, 3 males and 1 female, with a mean age of 46,2 (range 32 to 58) years, with histology proven Giant Cell Tumour of bone in 3 and osteosarcoma in 1. The mean resection length of distal tibia was 11,75 (range 9 to 16) cm, and all the patients underwent reconstruction with a tibiotalocalcaneal arthrodesis with an intercalary allograft fixed by a retrograde intramedullary nail.  Results  Oncological follow-up evolved without evidence of local recurrence or disease progression in all patients. After a mean time of 69.5 (range 32 to 98 months), patients had a mean MSTS12 functional score of 82.5% (range 75 to 90). All tibial arthrodesis and diaphyseal osteotomy sites were fused within 6 months with a return to activities without complications related to coverage skin or infection.  Conclusion  No complications were recorded; all arthrodesis and diaphysial tibial osteotomy sites fused by 6 months, and the mean follow-up of those patients was 69,5 (range 32 to 988) months, with a mean functional MSTS score of 82,5% (range 75-90). Level of Evidence: IV; Retrospective Case Series.<\/jats:p>","DOI":"10.1590\/1413-785220233102e264305","type":"journal-article","created":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T09:42:48Z","timestamp":1686303768000},"source":"Crossref","is-referenced-by-count":1,"title":["ANKLE ARTHRODESIS WITH INTRAMEDULLARY RETROGRADE NAIL FOR BONE TUMORS. PRELIMINARY RESULTS AND SURGICAL TECHNIQUE"],"prefix":"10.1590","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0561-0364","authenticated-orcid":false,"given":"JOS\u00c9 MANUEL","family":"CASANOVA","sequence":"first","affiliation":[{"name":"Centro Hospitalar e Universit\u00e1rio de Coimbra,  Portugal; Universidade de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6784-8602","authenticated-orcid":false,"given":"JO\u00c3O PAULO","family":"FREITAS","sequence":"additional","affiliation":[{"name":"Centro Hospitalar e Universit\u00e1rio de Coimbra,  Portugal; Universidade de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6274-448X","authenticated-orcid":false,"given":"RUBEN LOPES","family":"FONSECA","sequence":"additional","affiliation":[{"name":"Centro Hospitalar e Universit\u00e1rio de Coimbra,  Portugal; Universidade de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7832-4134","authenticated-orcid":false,"given":"PAULO","family":"TAVARES","sequence":"additional","affiliation":[{"name":"Centro Hospitalar e Universit\u00e1rio de Coimbra,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4037-2442","authenticated-orcid":false,"given":"DIOGO LINO","family":"MOURA","sequence":"additional","affiliation":[{"name":"Centro Hospitalar e Universit\u00e1rio de Coimbra,  Portugal; Universidade de Coimbra,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"issue":"10","key":"ref1","first-page":"1031","article-title":"Ankle arthrodesis with bone graft after distal tibia resection for bone tumors","volume":"29","author":"Campanacci DA","year":"2008","journal-title":"Foot&Ankle Int"},{"issue":"5","key":"ref2","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/s002640050374","article-title":"Endoprosthetic replacement of the distal tibia and ankle joint for aggressive bone tumours","volume":"23","author":"Abudu A","year":"1999","journal-title":"Int Orthop"},{"issue":"12","key":"ref3","doi-asserted-by":"crossref","first-page":"1867","DOI":"10.2106\/00004623-199512000-00011","article-title":"Artrodesis of the ankle with a free vascularized autogenous bone graft to Reconstruction of segmental loss of bone secondary to osteomyelitis, tumor or trauma","volume":"77","author":"Bishop AT","year":"1995","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"ref4","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1177\/107110079401500503","article-title":"Ankle resection arthrodesis in patients with bone tumors","volume":"15","author":"Casadei R","year":"1994","journal-title":"Foot Ankle Int"},{"key":"ref5","first-page":"213","article-title":"Allograft ankle arthrodesis. A limb salvage technique for distal tibial tumors","volume":"440","author":"Moore DR","year":"2005","journal-title":"Clin Orthop Rel Res"},{"issue":"12","key":"ref6","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1302\/0301-620X.88B12.17879","article-title":"Limb salvage for osteosarcoma of the distal tibia with resection arthrodesis, autogenous fibular graft and Illizarov external fixator","volume":"88","author":"Shalaby S","year":"2006","journal-title":"J Bone Joint Surg Br."},{"key":"ref7","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1097\/01.blo.0000063784.32430.b0","article-title":"Multicentric giant cell tumor of bone. A case report and review of the literature","volume":"410","author":"Taylor KF","year":"2003","journal-title":"Clin Orthop Rel Res"},{"issue":"10","key":"ref8","doi-asserted-by":"crossref","first-page":"1378","DOI":"10.1302\/0301-620X.91B10.22643","article-title":"Endoprosthetic reconstruction of the distal tibia and ankle joint after resection of primary bone tumors","volume":"91","author":"Shekkeris AS","year":"2009","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"ref9","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.fas.2017.01.006","article-title":"Reconstruction of bone defect with allograft and retrograde intramedullary nail for distal tibia osteosarcoma","volume":"24","author":"Xu L","year":"2018","journal-title":"Foot Ankle Surg"},{"issue":"204","key":"ref10","first-page":"9","article-title":"A system of staging musculoskeletal neoplasms","author":"Enneking WF","year":"1986","journal-title":"Clin Orthop Rel Res"},{"key":"ref11","series-title":"Bone tumors: Diagnosis, Treatment, and Prognosis","author":"Huvos AG","year":"1991","edition":"2"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/00003086-199301000-00035","article-title":"A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system","volume":"286","author":"Enneking WF","year":"1993","journal-title":"Clin Orthop Rel Res"},{"issue":"1","key":"ref13","first-page":"1","article-title":"The use of intramedullary nails in tibiocalcaneal arthrodesis","volume":"20","author":"Ruth LT","year":"2012","journal-title":"Journal AAOS"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1302\/0301-620X.81B5.0810803","article-title":"Prosthetic reconstruction for tumours of the distal tibia and fibula","volume":"81-B","author":"Lee SH","year":"1999","journal-title":"J Bone Joint Surg (Br)"},{"key":"ref15","first-page":"186","article-title":"Resection arthrodesis of the proximal ankle joint in Ewing's sarcoma \u2013 Maintenance of leg length using distraction osteogenesis","volume":"22","author":"Engelhardt P","year":"1993","journal-title":"Orthopade"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s00264-009-0931-x","article-title":"Reconstruction after wide resection of the entire distal fibula in malignant bone tumours","volume":"35","author":"Dieckmann R","year":"2011","journal-title":"Int Orthop"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1177\/107110070202301202","article-title":"Long-term results after ankle arthrodesis to clinical, radiological, gait analytical aspects","volume":"23","author":"Trouillier H","year":"2002","journal-title":"Foot Ankle Int"},{"key":"ref18","first-page":"677","article-title":"Tibio-talar arthrodesis: long term influence on the fooit","volume":"87","author":"Bertrand M","year":"2001","journal-title":"Rev Chir Orthop"}],"container-title":["Acta Ortop\u00e9dica Brasileira"],"original-title":["ARTRODESE DO TORNOZELO COM CAVILHA INTRAMEDULAR RETR\u00d3GRADA PARA TUMORES \u00d3SSEOS. RESULTADOS PRELIMINARES E T\u00c9CNICA CIR\u00daRGICA"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1413-78522023000400200&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,9]],"date-time":"2023-06-09T09:43:07Z","timestamp":1686303787000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1413-78522023000400200&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":18,"journal-issue":{"issue":"spe2","published-online":{"date-parts":[[2023]]}},"alternative-id":["S1413-78522023000400200"],"URL":"https:\/\/doi.org\/10.1590\/1413-785220233102e264305","relation":{},"ISSN":["1809-4406","1413-7852"],"issn-type":[{"type":"electronic","value":"1809-4406"},{"type":"print","value":"1413-7852"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e264305"}}