Tibiotalocalcaneal arthrodesis with a compressive retrograde nail: A retrospective study of 59 nails

• Retrospective study of 58 patients undergoing 59 tibiotalocalcaneal arthrodesis procedures.
• 93% achieved union at a mean time of 4.17 months.
• Mean VAS score preoperatively was 7.46 compared to 1.98 post-operatively (p < 0.001).
• Device and technique offers reliable fusion rates with high patient satisfaction.

BackgroundTibiotalocalcaneal arthrodesis is an important salvage method for patients with complex hindfoot problems. This study reports the elective results of combined subtalar and ankle arthrodesis using one design of retrograde intramedullary compression nail.MethodsRetrospective review identified 58 patients undergoing 59 tibiotalocalcaneal arthrodesis procedures. Mean follow up was 9.15 (3–36) months with average age 60.7 (22–89) years. A function and subjective patient satisfaction questionnaire was achieved in 89%.Results53 patients (93%) achieved union at a mean time of 4.17 months. Four patients (8%) subjectively thought the procedure was of no benefit while 42 (84%) had an excellent or good result. The mean visual analogue scale (VAS) score for preoperative functional pain was 7.46 compared to 1.98 post-operatively (p < 0.001).ConclusionsThis device and technique offers an effective treatment of hindfoot pathology giving reliable compression and subsequent fusion with excellent patient satisfaction and pain relief.Level of evidenceIV case series.