Tag Archives: complex hindfoot deformities

Correction of Complex Hindfoot Deformities Using an Intra-medullary Nail

Correction of Complex Hindfoot Deformities Using an Intra-medullary Nail

Figure 1: A 57-year-old male presented with a history of ankle pain and deformity secondary to Charcot-Marie-Tooth disease. He reported a level 9 pain with weight bearing, utilized a cane and required custom footwear. Note on the X-ray the severe varus deformity on the AP and the degree of arthritis on the lateral X-ray.

One of the most challenging scenarios is the patient with a complex hindfoot deformity involving both the ankle and the subtalar joint. “Hindfoot deformities involve complex anatomy, and may be caused by trauma, arthritis, congenital disease or may be related to Charcot neuropathy,” explains Paul J. Juliano, M.D., chief, foot and ankle orthopaedics, Bone and Joint Institute. Tibiotalocalcaneal (TTC) arthrodesis, often paired with osteotomy, is a salvage procedure typically performed in patients with severe tibiotalar and subtalar arthropathy with a significant pre-operative deformity. Over the past 10 to 15 years, treatment has shifted away from external fixation to internal fusion achieved with an intra-medullary nail.1,2 Continue reading

Leave a comment

Filed under Healthcare Practice