الفهرس 
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Abstract
Summary and conclusion
This prospective study included twenty patients with charcot ankle, eleven male patient and nine female patients. All patients had an ankle arthrodesis without bone grafting using retrograde nail with or without talar excision. Three cases had undergone talectomy while seventeen patients had tibiotalocaceneal fusion without talar excision. The age ranged from 41 years to 68 years with a mean age of 51.5 years. The overall final clinical results were excellent in eleven patients (55 %), good in one patient (5 %), fair in seven patients (35%) and poor patient in one patient (5%). Limb salvage has been assured in ninteen patients (95%) with one patient (5%) of postoperative below knee amputation. All patients were subjected to full history, general, ankle and foot examination, duplex study after offering the consent. Evaluation of each case was done at the end of follow-up period using David Morris Quality of Life Index. Ankle brachial index was measured in every case as a preoperative investigation to asses the validity for operative intervention and expecting the postoperative outcome. Extensive surgical planning is mandatory and must be multifactorial, taking into consideration, not only the radiographic examination findings, but also patient expectations, preoperative patient quality of life, and patient comorbidities. Closed or open technique, with or without talectomy must be in mind before procedure. Five cases were done using closed nailing technique and fifteen cases with open technique. Three cases had undergone talectomy. Only one patient (5%) had intraoperative distal screw breakage due to maltracking. Two patients (10%) had pain even after radiological