18 Although there may be significant heterogeneity when comparing patients undergoing open and minimally invasive TTC fusion, transportal TTC fusion should be considered in patients with significant comorbidities, particularly those with diabetes mellitus, as it leads to low rates of surgical site infections and thereby may reduce the risk of severe complications such as amputations.
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Transportal Tibiotalocalcaneal Nail Ankle Arthrodesis: A Systematic Review of Initial Series.
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