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-Depth of insertion can be confirmed

Hindfoot Fusion Nail-Depth of insertion can be confirmed
The nail is inserted.Depth of insertion can be confirmed radiographically by screening the distal end with an oblique lateral X ray.It is important to pay attention to the rotation of the nail whilst inserting it.In particular to ensure that when the jig is swung under the tibia for the medially located proximal locking screws that a good purchase of the subcutaneous tibial face is possible.