Tibiocalcaneal Marchetti-Vicenzi nailing in revision arthrodesis for posttraumatic XXXX of the ankle.

@entity1 @entity1171 @entity158 @entity130 @entity1516
The authors conducted a retrospective study of 7 @entity1 treated with tibiotalocalcaneal Marchetti-Vicenzi nailing (one anterograde and six retrograde nails). All these @entity1 had developed @entity1516 after previous arthrodesis for posttraumatic @entity1171 . The results were evaluated clinically and radiographically at a median time of four years. Fusion occurred in three @entity1 , in one of them only after removal of the proximal locking screw. Of the remaining four @entity1 , one achieved consolidation after replacement of the Marchetti-Vicenzi nail by another intramedullary nail, two were lost to follow-up after replacement by external or internal fixation, and the last @entity1 developed @entity1516 again. At least nine additional interventions were necessary in six @entity1 , including one amputation for intractable @entity158 and severe soft-tissue damage due to the @entity130 . None of the @entity1 had excellent or good results. The majority was unsatisfied with this type of intramedullary nailing. Therefore our study was terminated prematurely. Revision ankle fusion for nonunion or malunion after external or internal fixation has a high complication rate. Further study is mandatory to prevent or resolve remaining problems.
