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Case Reports
. 2022 Nov 18;12(4).
doi: 10.2106/JBJS.CC.22.00576. eCollection 2022 Oct 1.

An Off-Label Use of a Tensioned Proximal Humerus Plate for Tibiotalar Fusion: A Case Report

Arun Aneja  1 , Chandler R Sneed, Richard W Pectol, Matthew W Kavolus, Jeffrey A Foster, Daria L Kinchelow
Affiliations
Case Reports

An Off-Label Use of a Tensioned Proximal Humerus Plate for Tibiotalar Fusion: A Case Report

Arun Aneja et al. JBJS Case Connect. .

Abstract

Case: A 70-year-old man presented with a left pilon fracture after a 10-foot fall from a ladder. The severe amount of comminution, joint destruction, and impaction from this injury eventually resulted in a tibiotalar fusion. Owing to multiple tibiotalar fusion plates not being long enough to span the extent of the fracture, a tensioned proximal humerus plate was used as an alternative.

Conclusion: We do not endorse the off-label use of a tensioned proximal humerus plate for all tibiotalar fusions; however, we do believe that this is a useful technique in certain situations with large zones of distal tibial comminution.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B993).

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