TECHNIQUEAnkle Fusion With a Retrograde Locked Intramedullary NailPinzur, Michael S. MDAuthor Information Loyola University Medical Center, Maywood, IL Address correspondence and reprint requests to Michael S. Pinzur, MD, Loyola University Medical Center, 2160 S First Ave, Maywood, IL 60153. E-mail: email@example.com. Techniques in Foot & Ankle Surgery: March 2007 - Volume 6 - Issue 1 - p 38-43 doi: 10.1097/BTF.0b013e31803270fb Buy Metrics Abstract Patients with Charcot foot arthropathy are frequently morbidly obese, have regional osteopenia, and poor surgical hosts when correction of deformity is necessary. Tibiocalcaneal arthrodesis with a retrograde locked intramedullary nail has been shown to be an effective method of achieving a stable ankle arthrodesis. Periprosthetic fracture just proximal to ankle arthrodesis implants is a known associated morbidity. Use of a modified retrograde locked femoral nail that terminates in the proximal tibial methaphysis avoids the risk of periprosthetic fracture in this poor host population. © 2007 Lippincott Williams & Wilkins, Inc.