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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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A Retrospective Comparison Between Retrograde Intramedullary Nail Fixation and Lateral Plate Fixation for Tibiotalocalcaneal Arthrodesis

K. Kodiyatar Amit, M. Jalandhara Dharmesh and N. Ladani Brij
Page: 314-318 | Received 20 Aug 2024, Published online: 27 Dec 2024

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https://doi.org/10.36478/10.36478/makrjms.2025.1.314.318

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Abstract

Tibiotalocalcaneal arthrodesis (TTCA) is an established surgical intervention for advanced tibiotalar and subtalar joint conditions. Two prevalent fixation methods‐retrograde intramedullary nail fixation (RINF) and lateral plate fixation (LPF)‐are utilized in TTCA, each with unique benefits and potential complications. This study aims to provide a comparative analysis of RINF and LPF in TTCA to guide optimal surgical decision‐making. To compare the clinical efficacy and complication rates between RINF and LPF in TTCA patients. In a retrospective review of 30 patients, LPF demonstrated shorter operative times (76.16±6.16 minutes vs. 102.61±12.82 minutes, p<0.001) and less blood loss (83±18.28 ml vs. 160.17±20.62 ml, p<0.001) than RINF. RINF achieved faster fusion times (17±3 weeks vs. 19±4 weeks, p=0.0029). Both groups had comparable fusion rates and significant pain reduction postoperatively, with no significant difference in overall complication rates (p=0.80). Both RINF and LPF offer effective fixation for TTCA with similar morbidity profiles. LPF may be preferred for reduced operative time and blood loss, whereas RINF may be advantageous for quicker fusion. Further studies are needed to optimize patient selection for each fixation method. To compare the clinical efficacy of retrograde intramedullary nail fixation (RINF) and locking plate fixation (LPF) for TTCA. To measure the incidence of complications associated with each fixation method.

How to cite this article:

K. Kodiyatar Amit, M. Jalandhara Dharmesh and N. Ladani Brij. A Retrospective Comparison Between Retrograde Intramedullary Nail Fixation and Lateral Plate Fixation for Tibiotalocalcaneal Arthrodesis.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.314.318
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.314.318