Mosca M, Caravelli S, Fuiano M, et al. - In this research, the efficacy of tibiotalocalcaneal arthrodesis was ascertained by reamed intramedullary nail in the management of the distal tibia non-unions, correlated with end-stage osteoarthritis of ankle and subtalar joints. Researchers retrospectively assessed eight patients with radiographical and clinical diagnosis of non-union of the distal tibia have been treated with tibiotalocalcaneal arthrodesis by intramedullary retrograde nail. They radiographically and clinically evaluated patients preoperatively and at final follow-up regarding: satisfaction, AOFAS, VAS. At final follow up, the technique revealed good outcomes. In all the treated cases, consolidation was achieved. There was an evident improvement of the conditions of the patients considering AOFAS and VAS scores at final follow-up.