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Case Study: Prophylactic Tibia Fixation

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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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Gregory C. Berlet, MD, FRCS(C), FAOA

Gregory C. Berlet, MD, FRCS(C), FAOA

Specialty: Orthopedic Surgery (foot and ankle and sports medicine) Titles: Dr. Berlet is the Managing Partner of The Orthopedic Foot and Ankle Center (OFAC), a practice devoted to multi-disciplinary foot and ankle care in Westerville Ohio. 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. Research/innovations: The author of more than 150 scientific publications, Dr. Berlet is founding editor of Foot and Ankle Specialist, Foot and Ankle editor of Orthopedics Today and Helio.com and an active reviewer of many journals. Education/training: Dr. Berlet is fellowship-trained in both sports medicine and foot and ankle surgery. He earned a BSc degree from the University of Western Ontario, London, Ontario, Canada. He earned his MD from the University of Calgary, Faculty of Medicine, Calgary, Alberta, Canada. He was a fellow in foot and ankle surgery at Carolinas Medical Center, Charlotte, NC, USA, and a fellow in sports medicine and arthroscopy at the University of Toronto, Ontario, Canada. Dr Berlet is board certified by the American Board of Orthopedic Surgery and The Royal College of Surgeons (Canada). He is an active member of the American Orthopedic Association.

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Footnotes

1. Data on file at OSSIO 2. Clinical study data on file at OSSIO 3. Kaiser, P.B., Watkins, I., Riedel, M. D., Cronin, P., Briceno, J., Kron, J. Y. (2019). Implant Removal Matrix for the Foot and Ankle Orthopaedic Surgeon. Foot & Ankle Specialist, 12(1), 79-97. https://doi.org/10.1177/1938640018791015 4. Pre-clinical animal studies (in-bone implantation of OSSIOfiber® and PLDLA control in rabbit femurs). Data on File at OSSIO. 5.Haddad, S. F., Helm, M. M., Meath, B., Adams, C., Packianathan, N., & Uhl, R. (2019). Exploring the Incidence, Implications, and Relevance of Metal Allergy to Orthopaedic Surgeons. Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 3(4), e023. https://doi.org/10.5435/JAAOSGlobal-D-19-00023