Retrograde Intramedullary Nailing for Arthrodesis of Ankle Joint

Introduction: End -stage ankle arthritis (EAA) is a common joint disease resulting in severe pain and dysfunction due to degenerative changes in the ankle joint. Ankle arthrodesis is traditionally the surgical treatment of choice for patients in which conservative treatment or joint -preserving surgery has failed. The main goal in ankle arthrodesis is solid fusion of the tibiotalar joint aiming for a painless, plantigrade, and stable foot. The purpose of this study was to evaluate the union rate and complication rate in patients with end -stage ankle arthritis of different etiology. Methods: A total of 10 patients with end -stage ankle arthritis of different etiology were treated with retrograde intramedullary nailing i. e. TTC nail. Functional outcome was assessed using a visual analog scale post -operative at 6 weeks, 3 months, and 6 months. Results: out of 10 Patients who underwent retrograde intramedullary nailing with TTC nail 2 had excellent outcomes, 4 had good outcomes, 4 had satisfactory with 1 patient had superficial infection treated conservatively with antibiotics. Conclusion: This study of retrograde intramedullary nails provides excellent results for end -stage ankle arthritis with high union rates and a low complication rate. The modern design of the retrograde tibia nail appears to be an ideal implant, which is a load -sharing device and allows better positioning of the foot and compression of the fusion site.