Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Trauma & Reconstruction
Will Bilateral TTC Fusion Work?
A construction-site polytrauma with bilateral pilon, talus and calcaneus fractures, salvaged with bilateral TTC nailing using a custom in-house compression nail.
Patient Age
37 Years
MECHANISM
Fall from construction site
PRESENTATION
3 Weeks Post-Injury
APPROACH
Bilateral TTC Nailing, Primary Bone Grafting
01
Clinical Rationale
Pilon, talus and calcaneus fractures on both sides, alongside head and abdominal injuries, raised a real question of whether the patient would walk again. Both hindfeet were fused with a custom straight nail that compresses the ankle and subtalar joints simultaneously.
02
Surgical Approach
Both sides were reconstructed with tibiotalocalcaneal (TTC) nailing; the left also received primary bone grafting. The centre's own straight nail design allowed nail-assisted compression across both the ankle and subtalar joints, achieving sound union despite severe comminution.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Carefully carried out TTC nailing yields sound union even in severely comminuted cases.
#2
Adult patients do well even with bilateral TTC fusion, preserving the ability to walk.
#3
Joint preparation, alignment and bone grafting are the denominators of success.
#4
The centre's custom straight nail generates compression at both the ankle and subtalar joints.
04
Clinical Care Points
RIGHT SIDE
- i) Right — TTC nailing
ii) Joint preparation & alignment
iii) Nail-assisted compression
iv) Sound union achieved
LEFT SIDE
- i) Left — TTC nailing + primary bone grafting
ii) Joint preparation & alignment
iii) Nail-assisted compression
iv) Sound union achieved
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Will Bilateral TTC Fusion Work?
A construction-site polytrauma with bilateral pilon, talus and calcaneus fractures, salvaged with bilateral TTC nailing using a custom in-house compression nail.
A 37-year-old man sustained devastating injuries to both ankles after falling at a construction site. The trauma involved the pilon, talus and calcaneus on both sides, together with head and blunt abdominal injuries. He reached the foot and ankle team three weeks later with both legs supported in below-knee plaster slabs and with very limited reconstructive options.
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