Tibiotalocalcaneal fusion in Charcot ankle arthropathy: Technical and biological considerations

doi:10.5312/wjo.v17.i6.119597

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Orthop. Jun 18, 2026; 17(6): 119597
Published online Jun 18, 2026. doi: 10.5312/wjo.v17.i6.119597

Table 2 Main fixation options for tibiotalocalcaneal fusion in Charcot hindfoot and ankle disease

Method	Advantages	Limitations
Retrograde intramedullary nail	Load sharing, spans ankle and subtalar joints, limited stripping	Implant failure, nonunion, infection
Plate fixation	Alignment control, useful when nailing unsuitable	Wider exposure, soft-tissue risk
External fixation	Useful in infection or poor soft tissue	Pin-related problems, patient burden
Hybrid fixation	Added stability in selected salvage cases	Complexity and limited evidence

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Citation: Emara KM, Eissa MO. Tibiotalocalcaneal fusion in Charcot ankle arthropathy: Technical and biological considerations. World J Orthop 2026; 17(6): 119597
URL: https://www.wjgnet.com/2218-5836/full/v17/i6/119597.htm
DOI: https://dx.doi.org/10.5312/wjo.v17.i6.119597

Emara KM, Eissa MO. Tibiotalocalcaneal fusion in Charcot ankle arthropathy: Technical and biological considerations. World J Orthop 2026; 17(6): 119597 [DOI: 10.5312/wjo.v17.i6.119597]

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