{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T19:39:28Z","timestamp":1790192368746,"version":"4.1.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2008,10,1]],"date-time":"2008-10-01T00:00:00Z","timestamp":1222819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:p>Background: Infected nonunions and extrusions of the talus can often lead to below-knee amputation. Limb-salvage procedures have goals of eradicating infection and creating a painless, stable limb. Often, a tibiocalcaneal fusion is the best option; however, in the presence of infection and bone loss, it can be difficult to achieve a successful outcome using internal fixation. We review the results of circular ring external fixation to obtain a tibiocalcaneal arthrodesis despite these obstacles. Methods: A retrospective review of 11 patients who underwent tibiocalcaneal arthodesis using an Ilizarov external fixator for infected talar nonunions or extrusions was performed. Each patient had a debridement of all nonviable talus. The bony surfaces were prepared for the fusion followed by application of a circular ring fixator. Clinical outcomes were measured using the AOFAS ankle-hindfoot scale. There was a mean followup of 35 months. Results: Nine of the 11 patients had successful fusions. One fused successfully after a revision and the other developed a stable pseudoarthrosis. Eight patients underwent concomitant lengthening with the Ilizarov fixator. Mean AOFAS score at final followup was 65. This was out of a maximum of 86 since the tibiotalar and subtalar joint motion were removed. There were no recurrent deep infections or amputations. Conclusions: Tibiocalcaneal arthrodesis using the Ilizarov technique is a viable alternative to amputation in patients with infected nonunions or large bone loss of the talus.<\/jats:p>\n                  <jats:p>Level of Evidence: IV, Retrospective Case Study<\/jats:p>","DOI":"10.3113\/fai.2008.1001","type":"journal-article","created":{"date-parts":[[2008,10,13]],"date-time":"2008-10-13T12:33:47Z","timestamp":1223901227000},"page":"1001-1008","source":"Crossref","is-referenced-by-count":64,"title":["Tibiocalcaneal Arthrodesis Using the Ilizarov Technique in the Presence of Bone Loss and Infection of the Talus"],"prefix":"10.1177","volume":"29","author":[{"given":"Robert","family":"Rochman","sequence":"first","affiliation":[{"name":"Miami, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James Jackson","family":"Hutson","sequence":"additional","affiliation":[{"name":"Miami, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oladapo","family":"Alade","sequence":"additional","affiliation":[{"name":"Miami, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2008,10,1]]},"reference":[{"key":"bibr1-FAI.2008.1001","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(43)90501-X"},{"key":"bibr2-FAI.2008.1001","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860020-00001"},{"key":"bibr3-FAI.2008.1001","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062010-00015"},{"key":"bibr4-FAI.2008.1001","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951020-00007"},{"key":"bibr5-FAI.2008.1001","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401501102"},{"key":"bibr6-FAI.2008.1001","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200501000-00003"},{"key":"bibr7-FAI.2008.1001","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197658040-00004"},{"key":"bibr8-FAI.2008.1001","first-page":"21","volume":"268","author":"Holt ES","year":"1991","journal-title":"Clin. 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