Conversion of hindfoot intramedullary nail arthrodesis to total ankle arthroplasty: A case study


  • Timothy C. Ford, DPM Director, Podiatric Medicine and Surgery Residency and Fellowship Program, Department of Orthopedics, University of Louisville, Louisville, KY
  • Nicholas Laco, DPM Fellow, Podiatric Medicine and Surgery, Department of Orthopedics, University of Louisville, Louisville, KY
  • Michael Sweeney, DPM Resident, Podiatric Medicine and Surgery, Department of Orthopedics, University of Louisville, Louisville, KY



ankle arthrodesis, ankle replacement, fusion conversion, hindfoot nail


Ankle arthrodesis has long been the gold standard for ankle arthritis but issues such as adjacent joint arthritis, non-union, and malunion are common complications. Total ankle arthroplasty (TAA) has gained popularity with recent encouraging long-term results and conversion of ankle arthrodesis to arthroplasty is now being offered. This case study reports a total ankle arthroplasty conversion from a retrograde hindfoot intramedullary nail in a 25 year old female with a history of trauma and several operations. This case describes a rare instance for this particular procedure due to the arthrodesis performed by an intramedullary hindfoot nail complicated by malunion.


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How to Cite

Ford T, Laco N, Sweeney M. Conversion of hindfoot intramedullary nail arthrodesis to total ankle arthroplasty: A case study. J Int Foot Ankle [Internet]. 2022 Oct. 1 [cited 2022 Nov. 29];1(10). Available from: