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Removal of hardware and an intramedullary rod tibiocalcaneal fusion
6%
53/873
Bone grafting of the nonunion
2%
19/873
Use of an external bone stimulator
16/873
Removal of the plate and screws and the addition of an internal bone stimulator
1%
9/873
Revision fusion with stable compression fixation and bone graft
87%
761/873
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Because the subtalar joint looks normal, and there is enough talus to work with, the subtalar joint should be spared and only an ankle fusion performed, especially in view of the patient's young age. There is clearly a distraction at the fusion site and the distal fixation is loose. The patient needs a formal revision with a transfibular approach with compression screws. A simple bone grafting, removal of hardware, and/or a bone stimulator will not be sufficient.
3.3
(10)
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