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Case Study: Prophylactic Tibia Fixation

A percentage of total ankle replacements require hardware removal or subsequent operative treatment. In this case, the patient presented as a 61-year-old female who had previously sustained a left tri-malleolar equivalent ankle fracture, which was fixed at an outside institution. She was suffering from chronic ankle pain, therefore Dr. Greg Berlet opted for a staged total ankle replacement. The 4.0 mm OSSIOfiber Trimmable Nail was chosen as the preferred fixation method, as it provided a solid supportive construct to the medial malleolus for prophylactic fixation of the tibia in a total ankle replacement.

Placing the OSSIOfiber® Trimmable Nails in the medial malleolus enables complete bone integration, thus, allowing a surgeon performing the revision to make any new tibial cuts without the risks, time, or burden of removing metallic implants. 

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Topics: Trimmable Fixation Nail System

Greg Berlet, MD
Greg Berlet, MD
Greg Berlet, MD, FRCS(C), FAOA, is the Managing Partner of The Orthopedic Foot and Ankle Center (OFAC) in Westerville, Ohio. Dr. Berlet was fellow-ship trained in both sports medicine and foot and ankle surgery. He is past Chairman of the Education Committee for the AOFAS and past board member of the AAOS Council on Education. He is a consulting physician for the Columbus Blue Jackets National Hockey League franchise and the former Chief of the Division of Foot and Ankle Surgery at The Ohio State University College of Medicine and Public Health. He has authored more than 100 scientific publications and serves as editor of Foot and Ankle Specialist and Orthopedics Today.

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