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The intramedullary nail was 180 mm long with a range of angles including 125 degrees, 130 degrees, and 135 degrees. This fracture was stabilized on the night of admission with a reamed intramedullary nail after irrigation and debridement (Fig 2). This study will demonstrate that tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail is an effective salvage procedure for patients with extensive ankle and subtalar joint disease; and that the common complication of wound necrosis can potentially be avoided by an alternative surgical exposure. |
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