Outcome of Tibio-talo-calcaneal Arthrodesis using Supracondylar Femoral Intramedullary Interlocking Nail

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