{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T22:12:03Z","timestamp":1792707123393,"version":"4.5.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["jocr"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Introduction: Arthroscopic tibiotalocalcaneal (TTC) arthrodesis with intramedullary nail fixation is a minimally invasive technique for managing complex hindfoot pathologies, especially in patients with soft tissue injuries or poor skin conditions after trauma.\n\nCase Report: We present the case of a 44-year-old male farmer with post-traumatic instability over his left ankle and soft tissue injury over the lateral aspect of his left lower limb secondary to a degloving injury involving a runover by a tractor. The patient had previously undergone debridement with an anterolateral thigh flap for wound coverage 3 months ago. Examination revealed severe mediolateral instability, complete distal one-third fibular loss with severe functional impairment. An arthroscopically assisted TTC fusion using a retrograde intramedullary nail was performed. The technique allowed precise joint preparation, strong internal fixation, and minimized soft tissue disruption. Post-operatively, the patient achieved a stable, plantigrade, and pain-free foot with early mobilization and improved functional outcomes, as evidenced by a high American Orthopaedic Foot and Ankle Society score and Foot and Ankle Disability Index score.\n\nConclusion: his case demonstrates that arthroscopic TTC nailing can be a safe and effective solution in complex clinical scenarios, offering advantages, such as reduced risk of post-operative infections, earlier rehabilitation, quicker wound healing, and satisfactory limb alignment. Despite promising results, further research and long-term studies are needed to validate this technique across broader patient populations and establish standardized surgical protocols.\n\nKeywords: Ankle instability, tibio-talo-calcaneal fusion, subtalar arthritis, ankle arthroscopy, ankle arthrodesis.<\/jats:p>","DOI":"10.13107\/jocr.2025.v15.i07.5772","type":"journal-article","created":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T08:27:19Z","timestamp":1751790439000},"page":"73-77","source":"Crossref","is-referenced-by-count":2,"title":["Fusion under the Scope: Minimally Invasive Arthroscopic Tibiotalocalcaneal Arthrodesis in the Setting of Post-traumatic Fibular Loss: A Case Report"],"prefix":"10.13107","volume":"15","author":[{"name":"Department of Orthopaedics, Dr. D.Y. Patil Medical College and Hospital, Pune, Maharashtra, India.","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant","family":"Pawar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satyam","family":"Jawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedics, Dr. D.Y. Patil Medical College and Hospital, Pune, Maharashtra, India.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal","family":"Patil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedics, Dr. D.Y. Patil Medical College and Hospital, Pune, Maharashtra, India.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2025]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2025,7,6]],"date-time":"2025-07-06T08:27:19Z","timestamp":1751790439000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2025\/07\/01\/fusion-under-the-scope-minimally-invasive-arthroscopic-tibiotalocalcaneal-arthrodesis-in-the-setting-of-post-traumatic-fibular-loss-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2025.v15.i07.5772","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}