Osteochondral lesion of the talus in homozygous twins--the question of heredity.

We present a case of osteochondral lesion of the talus (OLT) in homozygous twins in adolescence occurring with no history of trauma. The aetiology of OLT is discussed.

Tibiotalocalcaneal (hindfoot) arthrodesis by retrograde intramedullary nailing using a curved locking nail. The results of 52 procedures.

Background: The purpose of this study was to report the results of 52 combined subtalar and ankle arthrodesis using an intramedullary nail.

Methods: Retrospective review identified 49 patients who had 52 combined ankle and subtalar arthrodeses with an ACE retrograde locked intramedullary humeral nail (DePuy-Ace), Warsaw, IN). Most procedures included bone grafts from the fibula, proximal tibia, or iliac crest or femoral head allograft.