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Related Experiment Video

Updated: Jun 4, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Primary tibiotalocalcaneal arthrodesis.

Kalpesh S Shah1, Alastair S Younger

  • 1Department of Foot and Ankle Surgery, St Paul's Hospital, 1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada.

Foot and Ankle Clinics
|February 23, 2011
PubMed
Summary

Tibiotalocalcaneal (TTC) arthrodesis using intramedullary nailing effectively reduces pain and improves function in carefully selected patients. This salvage procedure requires attention to insertion site to avoid neurovascular complications.

Related Concept Videos

Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction
  • Biomechanical engineering

Background:

  • Tibiotalocalcaneal (TTC) arthrodesis is a complex salvage procedure for severe foot and ankle pathology.
  • Normal joint function is not anticipated post-arthrodesis.
  • Intramedullary nailing offers a potential solution for pain reduction and functional improvement.

Purpose of the Study:

  • To evaluate the efficacy of intramedullary nailing for TTC arthrodesis.
  • To identify key factors for successful patient selection and surgical technique.
  • To highlight potential risks and complications associated with the procedure.

Main Methods:

  • Retrospective or prospective analysis of patients undergoing TTC arthrodesis with intramedullary nailing.

Related Experiment Videos

Last Updated: Jun 4, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

  • Assessment of clinical outcomes including pain scores and functional status.
  • Radiographic evaluation for alignment and fusion.
  • Surgical technique focused on insertion site selection to mitigate neurovascular risks.

    • Main Results:

    • Intramedullary nailing in properly selected patients demonstrates effectiveness in reducing pain.
    • The technique facilitates load sharing and achieves anatomic alignment.
    • Simultaneous arthrodesis of both the talocalcaneal and tibiotalar joints is achieved with a single device.
    • Careful selection of the insertion site is crucial for minimizing neurovascular complications.

    Conclusions:

    • TTC arthrodesis with intramedullary nailing is an effective salvage option for select patients.
    • The procedure offers significant benefits in pain reduction and functional restoration.
    • Adherence to proper patient selection and surgical technique, particularly regarding insertion site, is paramount for optimal outcomes and safety.