Tibiocalcaneal arthrodesis of a failed ankle fusion.

When previous attempts at ankle fusion have led to nonunion and destruction of both the talar body and its associated joint surfaces, treatment alternatives are limited. A case is presented where this type of pathology was addressed with a method of tibiocalcaneal arthrodesis that is rarely reported. This salvage procedure was completely successful in relieving the patient's symptoms in over 8 years of follow-up. The procedure and surgical alternatives are discussed in detail.