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ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026

Percutaneous joint preparation for tibiotalocalcaneal arthrodesis: a case series.

Cesar A Ramirez, Adam P Henderson, Gabrielle M Meli, Taylor R Rakauskas, Cole Herbel, Seif El Masry, Cameron J Foster, Elizabeth P Wellings, Edward T Haupt

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 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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1 · What the graph read from it

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5 · Who and what money

Authors and funding

9 authors.

Cesar A RamirezDepartment of Orthopedic Surgery, Mayo Clinic, Jacksonville, USA.
Adam P HendersonDepartment of Orthopedic Surgery, Mayo Clinic, Jacksonville, USA. Henderson.Adam@mayo.edu.ORCID https://orcid.org/0000-0003-4792-9338
Gabrielle M MeliDepartment of Orthopedic Surgery, Mayo Clinic, Jacksonville, USA.
Taylor R RakauskasDepartment of Orthopedic Surgery, Mayo Clinic, Jacksonville, USA.
Cole HerbelDepartment of Orthopedic Surgery, Mayo Clinic, Jacksonville, USA.ORCID https://orcid.org/0009-0007-9373-8766
Seif El MasryDepartment of Orthopedic Surgery, Mayo Clinic, Jacksonville, USA.
Cameron J FosterDepartment of Orthopedic Surgery, University of Florida Health Science Center, Jacksonville, USA.
Elizabeth P WellingsDepartment of Orthopedic Surgery, Mayo Clinic, Jacksonville, USA.
Edward T HauptDepartment of Orthopedic Surgery, Mayo Clinic, Jacksonville, USA. Haupt.Edward@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTibiotalocalcaneal (TTC) arthrodesis is a limb-salvaging procedure for end-stage ankle and hindfoot pathology but carries substantial risks of nonunion and complications. Minimally invasive approaches may reduce surgical morbidity while maintaining fusion outcomes.

methodsThis was a retrospective case series of patients who underwent TTC arthrodesis with percutaneous joint preparation between January 2020 and March 2025 at a single academic Level II trauma center. The primary outcome was radiographic or clinical fusion at final follow-up. Secondary outcomes included alignment, operative variables, complications, and functional recovery as measured by Patient Reported Outcomes Measurement Information System (PROMIS) domains.

resultsThirteen patients (six females) met inclusion criteria with a mean age of 74.0 years and body mass index of 27.1 kg/m

conclusionPercutaneous TTC arthrodesis demonstrated moderate radiographic fusion rates, functional improvement, and an acceptable complication profile for this cohort of predominantly elderly, medically complex patients.

Indexed as

Ankle JointArthrodesisAgedAged, 80 and overFemaleHumansLimb SalvageMaleMiddle AgedMinimally Invasive Surgical ProceduresRetrospective StudiesTibiaTreatment OutcomeHindfoot salvageIntramedullary fixationPercutaneous fusionTibiotalocalcaneal arthrodesis

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.