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Review Question - QID 210266

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QID 210266 (Type "210266" in App Search)
A 56 year-old male underwent a tibiotalar joint fusion six months ago. He presents for a second opinion due to chronic pain and difficulty walking. His current radiographs are shown in Figure A. The patient has a history of alcoholic induced neuropathy, type 2 diabetes, and had a previous nonunion of his left femur from an unrelated injury. His tibiotalar arthrodesis was completed for treatment of post-traumatic arthritis and his infection workup is currently negative. Which of the following places the patient at greatest risk for persistent nonunion with revision surgical fixation?
  • A
  • A