Excision of symptomatic coalition of the middle facet of the talocalcaneal joint.

Tarsal Coalitions: Preliminary Results After Operative Excision and Silicone Sheet Interposition in Children

“…Olney and Asher (42) reported 90% mobility compared with the contralateral side. The 2 poor results in their series resulted from insufficient resection.…”

“…Historically, the operative procedure of choice after failure of adequate conservative management has been fusion. More recently, good clinical results have been reported after operative resection of the coalition, with the advantages of preserving hindfoot motion and pain relief (16,(20)(21)(22)(37)(38)(39)(40)(41)(42)(43). However, the optimal operative treatment has not yet been determined (44).…”

“…When preoperative imaging studies (CT or magnetic resonance imaging) do not show any degenerative changes in the posterior facet, resection of the coalition is possible with interposition to minimize the risk of coalition recurrence. Typically, a fat graft or tendon interposition is placed in the zone of resection (42,45). In our series, because of the absence of degenerative changes on the preoperative imaging assessment, resection of the coalition with silicone sheet interposition was performed to prevent recurrence of bone fusion.…”

“…Many investigators have considered interposition to be a method of recurrence prevention, and fat graft interposition has often been used (16,39,41,42). Olney and Asher (42) reported 90% mobility compared with the contralateral side.…”

Non-metrical study of the pattern of talar articular facets in south Indian dry calcanei

“…They occur in association with carpal coalitions, phocomelia, hemimelia [12]. 83% are talocalcaneal leading to tarsal tunnel syndrome, osteophyte causing sensory disturbance in the region of medial plantar nerve and restriction of plantar flexion at the ankle joint [13]. Calcaneal fractures account for 33.3% of foot fractures.…”