Tibiotalocalcaneal Nail: A Novel Tool in the Management of Old Neglected Ankle Dislocation With Deformity.

Ankle dislocations, particularly those that are old and neglected, pose significant challenges in orthopedic management due to the development of arthritic changes and surgical difficulties of reduction. The optimal treatment often involves stabilization and realignment to ensure proper healing. The closed reduction is rarely achieved in old neglected dislocations. Open reduction with internal or external fixation is the treatment for old neglected dislocations. Ankle and subtalar arthrodesis ensure painless plantigrade foot. The case report describes a case of an 8-month-old unreduced ankle dislocation with equinus deformity managed with ankle and subtalar arthrodesis using tibiotalocalcaneal nail. The equinus deformity was corrected and painless stable ankle joint was achieved.