JoãoCaetano,PedroJordão,AndréBahute,UgoFontoura,PedroMarques,AnaInês

The use of intramedular nails in tibio-talo-calcaneal arthrodesis has become an option in complex cases envolving the ankle and hindfoot. Althought most articles describe good fusion rates and overall satisfaction there is still little evidence about this procedure in medical literature with most studies being retrospective. The retrograde nailing is usually used as a salvage procedure and, with minimum incisions, is able to provide a very stable fixation compared to other alternatives (pins, external fixators, plates, etc). This article describes the main points that must be kept in mind while doing a tibio-talo-calcaneal arthrodesis with a retrograde nail, and presents the follow up of 10 patients from our service.