Retrograde Intramedullary Nailing in Tibiotalocalcaneal Fusion: Surgical Technique


Retrograde intramedullary nailing is an effective technique for stabilizing subtalar and ankle joint fusion, which is indicated as a salvage procedure for severe symptomatic degenerative and posttraumatic conditions of the hindfoot. This article reviews and illustrates the surgical technique for retrograde intramedullary nailing in tibiotalocalcaneal fusion, as well as the surgical indications and contraindications for and alternatives to this procedure. Practical pearls and pitfalls associated with hindfoot nails, based on extensive clinical experience, are also described.

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