Intramedullary Nail Fixation for Tibiotalocalcaneal Arthrodesis

  • Lawrence A. DiDomenico
  • Thomas W. Groner


Tibiotalocalcaneal arthrodesis is used to treat severe arthrosis, deformity, and malalignment of the hindfoot and ankle. This may be accomplished by the utilization of crossed lag screws, plates, external fixation, or an intramedullary nail.1 With a tibiotalocalcaneal arthrodesis, the goal is to create a solid fusion that corrects the deformity, maintains anatomic alignment, and allows the patient to function independently while relieving pain and providing a plantigrade foot and ankle that is shoeable or braceable.2 Often the severity of the deformity affects not only the ankle but also the subtalar joint, thereby warranting fusion of both joints.


Intramedullary Nail Distal Tibia Subtalar Joint Distal Screw Total Ankle Replacement 
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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Department of SurgeryNorthside Medical CenterYoungstownUSA
  2. 2.Department of SurgeryAnkle and Foot Care CenterAllianceUSA

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