Case ReportsAn Off-Label Use of a Tensioned Proximal Humerus Plate for Tibiotalar Fusion A Case ReportAneja, Arun MD, PhD1; Sneed, Chandler R. BS1; Pectol, Richard W. BS1; Kavolus, Matthew W. MD1; Foster, Jeffrey A. MD1,a; Kinchelow, Daria L. BA1 Author Information 1Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, Kentucky aE-mail address for J.A. Foster: [email protected] Investigation performed at the Department of Orthopaedic Surgery & Sports Medicine, University of Kentucky, Lexington, Kentucky Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSCC/B993). JBJS Case Connector 12(4):e22.00576, October-December 2022. | DOI: 10.2106/JBJS.CC.22.00576 Buy Metrics 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. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated
