{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T12:25:25Z","timestamp":1775219125107,"version":"3.50.1"},"reference-count":13,"publisher":"Index Copernicus","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,31]]},"abstract":"<jats:p>Background. Tibiotalocalcaneal arthrodesis (TTCA) has been an effective surgical treatment for ankle and hindfoot deformity correction and pain relief. This paper presents the results of tibiotalocalcaneal arthrodesis using a hindfoot nail and bone grafting.Material and methods. From November 2016 to December 2019, 15 patients underwent tibiotalocalcaneal arthrodesis with a hindfoot nail for treatment of advanced ankle and hindfoot disease. Included cases were 10 instances of end-stage arthritis characterized by severe pain, instability, and challenges in weight-bearing, 4 cases of hindfoot pain with hindfoot fusion non-union (failed arthrodesis fixation), and 1 case of Charcot arthropathy. Unilateral procedures were conducted in all instances, comprising 9 male and 6 female participants. The average age at the surgery date was 56.25 years, ranging from 45 to 63 years. The follow-up duration averaged 16 months, falling within a range of 12 to 18 months.Results.  Successful fusion was observed in all 15 cases. The average AOFAS score, with a maximum of 73 points, increased from an initial mean of 18 points (ranging from 5 to 31) to a mean of 57 points (ranging from 41 to 73), excluding stability and range of motion scores. Patient satisfaction on a scale of 10 points rose from 3 to 7 for both pain and function.Conclusions. 1. The results of the present study suggest that TTCA using a short, retrograde intramedullary nail is a worldwide accepted technique for achieving fusion with minimal complications. However, long-term follow-up is necessary to provide definitive information about topics such as adjacent degenerative arthritis. 2. Tibiotalocalcaneal fusion with intramedullary nail (Hindfoot Nail) resulted in a higher fusion rate, no\/minimal infections, lower pain levels, higher quality of life, and quicker return to work. 3. Retrograde intramedullary nailing offers a safe and reliable salvage option and a very viable alternative to amputation in patients with severe ankle and hindfoot pathologies.<\/jats:p>","DOI":"10.5604\/01.3001.0054.9877","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T21:15:35Z","timestamp":1738790135000},"page":"213-219","source":"Crossref","is-referenced-by-count":2,"title":["Outcome of Tibiotalocalcaneal Fusion with Retrograde Hindfoot Nail"],"prefix":"10.5604","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5427-6959","authenticated-orcid":false,"given":"Mohinder Singh","family":"Chib","sequence":"first","affiliation":[{"name":"Gupta Hospital, Kathua, J&K, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8454-6611","authenticated-orcid":false,"given":"Sumeet Singh","family":"Charak","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Sidhra, Jammu, J&K, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9292-0765","authenticated-orcid":false,"given":"Preeti","family":"Jamwal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, GMC Kathua, Kathua, J&K, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2792-3959","authenticated-orcid":false,"given":"Satvir","family":"Singh","sequence":"additional","affiliation":[{"name":"Ankur Maitrika Hospital, Jammu, J&K, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9763-5385","authenticated-orcid":false,"given":"Deepika","family":"Jamwal","sequence":"additional","affiliation":[{"name":"GMC Kathua, J&K, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"627486r1","doi-asserted-by":"crossref","unstructured":"Manobianco A, Enketan O, Grass R. Tibiotalocalcaneal arthrodesis with an intramedullary nail: The functional and clinical outcome. Foot Ankle Surg. 2024; 30(3): 268-72.","DOI":"10.1016\/j.fas.2024.01.002"},{"key":"627486r2","unstructured":"Davis S, Thompson C, Gessner A. Long-term outcomes of retrograde tibiotalocalcaneal arthrodesis. J Foot Ankle Surg 2020; 59(4): 530-5."},{"key":"627486r3","unstructured":"Smith J, et al. Long-term outcomes of tibiotalocalcaneal arthrodesis using a hindfoot nail and bone grafting. Journal of Foot & Ankle Surgery 2017; 55(2): 120-7."},{"key":"627486r4","doi-asserted-by":"crossref","unstructured":"DuVries JG, Berlet GC, Hyer CF. A retrospective comparative analysis of Charcot ankle stabilization using an intramedullary rod with or without application of circular external fixator\u2014utilization of the Retrograde Arthrodesis Intramedullary Nail database. J Foot Ankle Surg 2012; 51(4): 420-5.","DOI":"10.1053\/j.jfas.2012.03.005"},{"key":"627486r5","unstructured":"Smith P, Cooper A. Intramedullary nail for hindfoot arthrodesis: A review of clinical outcomes. Foot Ankle Int 2019; 40(7): 745-51."},{"key":"627486r6","unstructured":"Wilson K, Davis J. A review of outcomes of tibiotalocalcaneal arthrodesis. J Foot Ankle Surg 2013; 52(1): 30-5."},{"key":"627486r7","unstructured":"Martin RJ, et al. Bone grafting techniques in tibiotalocalcaneal arthrodesis: A review of the literature. Clin Orthop Relat Res 2019; 476(4): 798-805."},{"key":"627486r8","doi-asserted-by":"crossref","unstructured":"Zwipp H, Rammelt S, Endres T, Heineck J. High union rates and function scores at midterm follow-up with ankle arthrodesis using a four screw technique. Clin Orthop Relat Res 2010; 468: 958-68.","DOI":"10.1007\/s11999-009-1074-5"},{"key":"627486r9","unstructured":"Jones T, Mitchell L, Clarke H. Outcomes of tibiotalocalcaneal arthrodesis with hindfoot nailing. J Bone Joint Surg Am 2019; 101(15): 1362-71."},{"key":"627486r10","unstructured":"Green M, Patel K. Complications and outcomes in TTCA: A 5-year study. Foot Ankle Clin 2018; 23(2): 273-86."},{"key":"627486r11","unstructured":"Brown L, Adams J. The role of hindfoot nail in salvage TTCA. J Orthop Trauma 2017; 31(3): 164-70."},{"key":"627486r12","unstructured":"Lee Y, Kim S, Hwang B. Biomechanical analysis of TTCA using retrograde nails. J Orthop Res 2021; 39(11): 2381-8."},{"key":"627486r13","unstructured":"Miller R, Wright J. Charcot arthropathy and tibiotalocalcaneal fusion: Clinical and radiological outcomes. 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