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-position whilst reaming

Hindfoot Fusion Nail-position whilst reaming
A second additional guide wire(1) may be required to hold position whilst reaming for the nail if movement is occuring. It is particularly important to prevent the tendency to plantar-flexion of the foot which occurs during reaming if stability is inadequate.