Treatment Options

1. Small wire fixator
2. Small wire fixator with transarticular fixation
3. Retrograde salvage nail with fixation across the ankle and subtalar joints
4. Retrograde salvage nail with fixation across the ankle and subtalar joints with fusion of the ankle joint
5. Open reduction and internal fixation in situ
6. Open reduction and internal fixation after take down of the nonunion and iliac crest bone graft
7. Antegrade intramedullary nail fixation with multiple distal locks