The Foot Surgery Atlas - home pagedouble fusion ankle and subtalar
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hindfoot fusion nail - operative indications
hindfoot fusion nail - operative considerations

Hindfoot Fusion Nail-Approach to ankle and subtalar

Hindfoot Fusion Nail-The postero-lateral edge of the tibia

Hindfoot Fusion Nail-The Heel incision

Hindfoot Fusion Nail-De Puy ACE nail insertion
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Hindfoot Fusion Nail - operative considerations


PATIENT POSITIONING: supine with ipsilateral sandbag and well padded bowl beneath calf

TOURNIQUET: thigh

ANAESTHESIA: general

NERVE BLOCK: femoral and sciatic

KIT REQUIRED: DePuy ACE nail, large power driver, De Soutter small power saw, single sided large reciprocating saw blade, laminar spreader, Hibs and Lambotts osteotomes