Monaco Spencer J, Lowery Nick, Crim Brandon
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (SJM).
Washington Hospital, Washington, Pennsylvania (NL).
Foot Ankle Spec. 2016 Dec;9(6):560-562. doi: 10.1177/1938640016640888. Epub 2016 Jul 8.
Tibiotalocalcaneal arthrodesis with an intramedullary nail is a procedure reserved for patients who have conditions affecting the ankle joint and subtalar joint. The most common complications include nonunion, malunion, delayed union, infection, periprosthetic fracture, hardware failure, lateral plantar nerve injury, and wound healing. Significant bone void may result if the hardware requires removal secondary to one of these complications. The purpose of this article is to report on 2 cases of infected intramedullary nails, which were revised with fibular inlay strut grafts. Both cases were augmented with either internal or external fixation.
Therapeutic, Level IV: Case report.