Case ReportsImmediate Tibiocalcaneal Arthrodesis With Interposition Fibular Autograft for Salvage After Talus Fracture: A Case ReportPtaszek, Amy Jo Author Information Foot and Ankle Service, Department of Orthopaedic Surgery, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, Texas, U.S.A. Accepted February 22, 1999. Address correspondence and reprint requests to Dr. Amy Jo Ptaszek, Foot and Ankle Service, Department of Orthopaedic Surgery, Wilford Hall Medical Center, Lackland AFB, San Antonio, TX 78236-5300, U.S.A. No financial support of this project has occurred. The author has received nothing of value. The devices that are the subject of this manuscript are FDA-approved. Journal of Orthopaedic Trauma 13(8):p 589-592, November 1999. Buy Abstract Treatment goals in the operative management of talus fractures include prompt, anatomic, open reduction with rigid internal fixation; functional outcome is measured by degree of arthrosis, pain, range of motion, limb length, cosmesis, and return to premorbid activities. If restoration of the articular surfaces is precluded secondary to comminution, immediate and/or staged reconstructive salvage procedures must be considered. This report describes an immediate reconstructive procedure for salvage after a comminuted talus fracture with an ipsilateral tibia fracture. A standard antegrade tibial nail extending into the calcaneus was selected to stabilize both fracture sites. The technique of tibiocalcaneal arthrodesis using interposition fibular autograft and intramedullary fixation is presented as a unique treatment option. © 1999 Lippincott Williams & Wilkins, Inc.