Triple arthrodesis of the hindfoot, a short term prospective outcome study

Stegeman, M.; Anderson, Peter; Louwerens, Jan Willem K.

doi:10.1016/j.fas.2005.12.001

Cited by 14 publications

(11 citation statements)

References 36 publications

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“…Reports of non-union rates vary from 15% to 20% down to 5% and less. 1,7,11,13,17,19 Earlier results on the rheumatoid population showed good union rates. 5 This was confirmed by the present study, as no non-union was found when evaluating the CT scans.…”

Section: Discussionmentioning

confidence: 98%

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Triple Arthrodesis in Rheumatoid Arthritis

Knupp¹,

Skoog²,

Törnkvist³

et al. 2008

Foot Ankle Int.

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Section: Discussionmentioning

confidence: 98%

“…Recent studies in non-arthritic patients showed that it may not be necessary to achieve good fusion rates. 15,19 Earlier findings in rheumatoid patients, however, showed excellent fusion rates using an autologous bone graft. 5 All patients included in the present study received an autologous bone transfer from the iliac crest.…”

Section: Discussionmentioning

confidence: 99%

Triple Arthrodesis in Rheumatoid Arthritis

Knupp¹,

Skoog²,

Törnkvist³

et al. 2008

Foot Ankle Int.

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“…13,14 These include the amount of pain, disability and loss of activities, the question whether these are the result of the foot pathology, the socioeconomic situation, the expectations, the risk of complications, comorbidity, the progression of a possible underlying disease, the surgery and long recovery time (1 year), the results of conservative treatment, and the gain regarding pain and function that may be expected.…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

“…13 In cases where sufficient apposition cannot be achieved, resection of wedges and or bone graft may be used, for which an autograft might do better than allograft.…”

Section: Techniquementioning

confidence: 99%

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Triple Arthrodesis

Louwerens¹

2012

Techniques in Foot &Amp; Ankle Surgery

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Under closed kinematic chain conditions, the functions of the ankle and the tarsal joints are coupled. Exorotation of the lower leg induces exorotation of the talus and supination of the tarsus, and vice versa. Endorotation of the lower leg and pronation of the tarsal joints are also coupled this way. The varus or valgus position of the calcaneus and the form of the hindfoot are determined by rotations and translations of the other tarsal bones around the talus. The most important joint in the tarsus, determining the mobility of this complex, is the talonavicular joint. In the present description of a surgical technique for performing a triple arthrodesis of the tarsus, it is emphasized that the position of the hindfoot can be corrected and is determined by maneuvering the foot around the talus at this joint. After release of the tarsal joints and preparation for fusion, in most cases, a neutral position of the tarsus can be acquired without resection of bony wedges. The surfaces thus maintain optimal congruency and contact, which is beneficial for acquiring bony fusion. The form of the foot is corrected without shortening. Screw fixation is used, and a near 100% fusion rate is feasible without the use of autograft or allograft bone. In case of deformity, triple arthrodesis is seldom a stand-alone procedure. Additional soft tissue procedures, for instance lengthening of the tendon Achilles, and realigning of the forefoot in relation of the tarsus are then mandatory in acquiring a plantigrade foot and optimal stability.

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