Abstract

Introduction: The goals of tibiotalocalcaneal (TTC) arthrodesis is to give relief of pain , to correct deformity, and to achieve solid fusion. Intramedullary nailing(IMN) has proved to be a generally accepted method of fixation for achieving tibiotalocalcaneal arthrodesis Case: 37 year male presented with 2 year posttraumatic ankle and subtalar painful arthritis with equinovalgus foot. He underwent multiple surgeries including flap cover outside. We did retrograde intramedullary nailing by distal femoral nail to achieve TTC fusion . After 5 months we observe solid fusion and patient become asymptomatic Conclusion: Retrograde IMN is good and effective technique for TibioTalocalcaneal ( TTC) fusion, minimum blood loss ,no external splintage ,less hospital stay and early wt bearing are few advantages

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