Posterior Arthroscopic Tibio-Talo-Calcaneal Fusion: Early Experience with a New Surgical Technique

Abstract

Combined arthritis of the ankle and the subtalar joint is traditionally treated by tibio-talo-calcaneal fusion. We describe a new minimally invasive method for tibio-talo-calcaneal fusion with the use of a retrograde nail, under posterior hindfoot arthroscopy. The surgical technique, as well as the results of several cases, are presented. This novel surgical procedure seems to have a higher rate of patient satisfaction and lower morbidity than traditional methods, although it is not favourable when a significant deformity is present.