Tibiotalocalcaneal arthrodesis using a reamed retrograde locking nail

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Surgery

Background:

• Tibiotalocalcaneal arthrodesis aims to improve union and reduce complications.
• Evaluating novel techniques is crucial for enhancing patient outcomes.

Purpose of the Study:

• To assess the union rate of tibiotalocalcaneal arthrodesis using an intramedullary nail.
• To evaluate outcomes without formal subtalar joint debridement and with varied ankle joint debridement.

Main Methods:

• Retrospective review of 50 patients undergoing tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail.
• Assessment included consolidation time, complications, patient satisfaction, functional scores, and radiographic evidence of fusion.

Main Results:

• 100% ankle fusion and 95% subtalar joint fusion achieved.
• Average fusion time was 20 weeks.
• High patient satisfaction (92%) and a low complication rate were observed.

Conclusions:

• Tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail, omitting formal subtalar debridement, is a reliable fusion method.
• Percutaneous ankle debridement is a viable alternative to open debridement.