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Journal of Foot and Ankle Surgery (Asia Pacific)


Introduction: Tibiotalar arthritis of foot is a progressive pathology; if left untreated, patients experience excruciating pain at every step while walking/weight bearing. The treatment depends on whether the pain is to be managed conservatively or surgically. This article is intended for the description of a technique performing tibiotalocalcaneal arthrodesis (TTCA) using an indigenous femur supracondylar nail, an intramedullary fixation.

Materials and methods: This article contains a prospective study of 21 patients with a mean age of 46 years, males – 13 and females – 8, who underwent TTCA with intramedullary fixation for the diagnoses of osteoarthrosis (6 patients), rheumatoid arthritis (6 patients), and arthritis secondary to avascular necrosis (AVN) of talus/trauma (9 patients), with a mean follow-up interval of 22 months.

Results: Out of 21 patients, 96.55% union rate was achieved at a mean time to union of 16 weeks, with one patient (3.45%) going for delayed union.

Conclusion: Intramedullary nailing is an excellent method of fixation for TTCA in the appropriately selected patients. Using an indigenous supracondylar femoral nail is a cost-effective method, and this gave equivalent results as that of other intramedullary nails in properly selected patients.

Keywords: Intramedullary fixation, Supracondylar femoral nail, Tibiotalocalcaneal arthrodesis.

How to cite this article: Hiranyakumar S, Revuri P, Shah AD. Outcome of Tibio-talo-calcaneal Ar throdesis using Supracondylar Femoral Intramedullary Interlocking Nail. J Foot Ankle Surg (Asia-Pacific) 2017;4(1):23-29.

Source of support: Nil

Conflict of interest: None

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