Evidence map›Paper›PMID 42608912›Full record

ArticleActa orthopaedica et traumatologica turcica2026

Off-label use of a PHILOS plate in tibiotalocalcaneal arthrodesis with variable medial cannulated screw support: a retrospective evaluation of 32 ankles.

Ahmet Yurteri, Numan Mercan, Ahmet Fevzi Kekeç, Fatih Tahak, Ahmet Yıldırım

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Article in Acta orthopaedica et traumatologica turcica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Ahmet YurteriDepartment of Orthopaedics and Traumatology, Konya City Hospital, Konya, Türkiye.
Numan MercanDepartment of Orthopaedics and Traumatology, Kahramanmaraş Necip Fazıl City Hospital, Kahramanmaraş, Türkiye.
Ahmet Fevzi KekeçDepartment of Orthopaedics and Traumatology, Necmettin Erbakan University Faculty of Medicine, Konya, Türkiye.
Fatih TahakDepartment of Orthopaedics and Traumatology, Karapınar State Hospital, Konya, Türkiye.
Ahmet YıldırımDepartment of Orthopaedics and Traumatology, Health Application and Research Center, Konya City Hospital, University of Health Sciences, Konya, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the clinical and radiographic outcomes of tibiotalocalcaneal (TTC) arthrodesis performed using a lateral transfibular approach with the off-label application of a Proximal Humerus Internal Locking System (PHILOS) plate and to exploratorily assess outcomes according to the use of supplemental medial cannulated screw fixation.

methodsThirty patients (32 ankles) who underwent TTC arthrodesis between January 2019 and June 2024 and had ≥12 months of followup were retrospectively reviewed. Demographics, comorbidities, surgical indications, implant configuration, fusion rates, complications, reoperations, and patient satisfaction were analyzed. Subgroup findings regarding medial screw support were evaluated descriptively.

resultsThe mean follow-up duration was 37.3 ± 19.2 months, and fusion was achieved in 90.6% (29/32) of ankles. Complications occurred in 18.8% (6/32), including 3 nonunions, 2 peri-implant tibial fractures, and 1 superficial infection. Reoperation was required in 3 ankles (9.4%). Patient-reported satisfaction was "excellent" in 71.9%, "good" in 12.5%, "fair" in 6.3%, and "poor" in 9.4%.

conclusionTibiotalocalcaneal arthrodesis performed using the PHILOS plate with a lateral approach demonstrated acceptable fusion and complication rates in this cohort. Subgroup observations regarding supplemental medial screw fixation should be interpreted as exploratory and hypothesis generating.   Cite this article as: Yurteri A, Mercan N, Kekeç AF, Tahak F, Yıldırım A. Off-label use of a PHILOS plate in tibiotalocalcaneal arthrodesis with variable medial cannulated screw support: a retrospective evaluation of 32 ankles. Acta Orthop Traumatol Turc.2026; 60(4), 0553, doi: 10.5152/j.aott.2026.25553.

Indexed as

Ankle JointArthrodesisBone PlatesBone ScrewsAdultAgedFemaleHumansMaleMiddle AgedOff-Label UsePatient SatisfactionPostoperative ComplicationsReoperationRetrospective StudiesTreatment Outcome

Identifiers

PMID42608912
PMCPMC13507788

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