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Updated: Aug 29, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[Talo-crural migration of a Kuntscher tibial nail: a case report]
H-J-C Razafimahandry1, H-N Rakoto-Ratsimba, L-H Samison
1Service d'Orthopédie et de Traumatologie A, CHU HJRA Ampefiloha, BP 4150, Antananarivo 101, Madagascar.
Abstract:
Centromedullary nailing without locking using a Kuntscher nail remains a routine practice in developing countries for the treatment of leg fractures. We observed a distal transplantar migration of this type of nail which had not been removed and report here the etiopathogenic factors involved as well as the clinical evolution. In our patient, transplantar migration was favored by mechanical phenomena related to microtrauma caused by the tip of the nail which eroded bony structures of a limb highly solicited for nearly 16 years.
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