ORTHO
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Review Question - QID 213006

Ankle Arthrodesis Technique Tibiotalocalcaneal (TTC) fusion with retrograde intramedullary nail QID: 213006 (OBQ18.110)
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QID 213006 (Type "213006" in App Search)
A 46-year-old male is 2.5 years out from a closed subtalar dislocation treated with reduction and casting. His current radiographs are shown in figure A. An MRI is performed which demonstrates broad-based avascular necrosis of the talus. He has attempted bracing, injections and NSAIDs, but continues to be significantly limited. What is the most appropriate surgical management for this patient?
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