Tibiotalocalcaneal (TTC) arthrodesis

Case contributed by Craig Hacking
Diagnosis certain

Presentation

6 months post hindfoot fusion. Clinic follow up.

Patient Data

Age: 70 years
Gender: Male

Tibiotalocalcaneal fusion nail remains stable in position, with no evidence of hardware failure. Fusion across the subtalar and talocrural joints is progressing and there is incorporation of the bone graft material. The tibial, talar and calcaneal locking screws are unremarkable.

Case Discussion

Example of tibiotalocalcaneal arthrodesis with a retrograde hindfoot intramedullary nail. This patient had severe debilitating osteoarthritis. Complications of TTC arthrodesis include infection and non-union. 

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