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Tibiotalar Calcaneal Arthrodesis Using Proximal Femoral Nail- A Report of Two Cases from a Low-Resource Setting Cover

Tibiotalar Calcaneal Arthrodesis Using Proximal Femoral Nail- A Report of Two Cases from a Low-Resource Setting

Open Access
|Jul 2025

Abstract

Tibiotalar-calcaneal arthrodesis is reserved as a salvage procedure for acute and chronic ankle pathologies. It can be performed using external or internal fixation. Among internal fixation techniques, hind foot nails are popular as they are more stable and minimally invasive. But hind foot nails are expensive and it is not available in all centres. We describe two patients with two different chronic ankle pathologies treated with ankle arthrodesis using a proximal femoral nail in a low-resource setting in 2015. In that period, hind foot nails were not available in Sri Lanka. Both patients recovered uneventfully and started to work after a long waiting period. The proximal femoral nail is one of the possible options to fuse the ankle in a low-resource setting.
Language: English
Page range: 48 - 50
Published on: Jul 31, 2025
Published by: The Jaffna Medical Association
In partnership with: Paradigm Publishing Services

© 2025 Kalaventhan Pathinathan, Shanaka Hewavitharana, Sampath Marasinghe, Parathan Sriharan, Dishanth Sivakumaran, Nihal Fernando, published by The Jaffna Medical Association
This work is licensed under the Creative Commons Attribution 4.0 License.