Background. The use of intramedullary nail fixation for tibio-talo-calcaneal fusion is gaining popularity. There is chance of failure of procedure following faulty operative technique specially alignment. Methods. The article describes a useful application of tibial tunnel jig in inserting the calcanio-talo-tibial guide wire. Results. There is precision of few millimeters in the exit point of guide wire on talus. Conclusions. The authors believe that this helps in better positioning of nail and hence better alignment and better operative outcome.
FriggANiggBDavisEPedersonBValderrabanoV. Does alignment in the hindfoot radiograph influence dynamic foot-floor pressures in ankle and tibiotalocalcaneal fusion?Clin Orthop Relat Res. 2010;468:3362-3370. doi:10.1007/s11999-010-1449-710.1007/s11999-010-1449-7.
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SharmaHSymeBRobertsJFoxworthyM. Technique tip: use of ACL tibial jig for hallux metatarsophalangeal joint fusion, tarsometatarsal and talar fracture fixation. Foot Ankle Int. 2008;29:91-93.
