Die Resektion der talokalkanearen Coalitio im Kindesund Adoleszentenalter ohne und mit Stellungskorrektur

Abstract

24 resections of a talocalcaneal coalition in 22 pediatric or adolescent patients were carried out. The coalition was located at the medial joint facet in 18 cases and in the dorsomedial talocalcaneal region in seven cases (in one patient combination of both). Three patients presented with an additional calcaneonavicular coalition. A talocalcaneal bone bridge of the entire joint was found in five cases. In seven patients an intramuscular lengthening of the gastrocnemius muscle was necessary. In nine patients a calcaneal lengthening procedure, and in five patients a calcaneal sliding osteotomy were added. A lengthening in the region of a calcaneocuboid synostosis was untertaken in one case. After a mean follow-up of 21.2 months 17 patients are completely or nearly pain-free. Five patients still complain of pain, but are improved. Two patients were lost to follow-up.

Análisis tomográfico de la alineación del retropié en pacientes con coaliciones tarsianas

“…Algunos autores 20 consideran que, en este escenario, lo más conveniente es resecar la barra, recuperar la movilidad de la articulación y posteriormente solo cuando continúen los síntomas o la deformidad progrese, realinear el pie mediante osteotomías. Otros autores 7,18,19,21,22 prefieren efectuar la realineación en un mismo tiempo. Si bien varios autores 6,18 utilizan el AAC (>16°) como parámetro para decidir la realineación del retropié, creemos que la orien- Figura 2.…”