Arthroscopic Talocalcaneal Coalition Resection in Children

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Jorge KnörrJérôme Sales de Gauzy

Abstract

To present the technique and outcomes of arthroscopic talocalcaneal coalition (TCC) resection in pediatric patients. We performed a prospective study of 16 consecutive feet with persistent symptomatic TCCs in 15 children. The mean age was 11.8 years (range, 8 to 15 years), and the mean follow-up period was 28 months (range, 12 to 44 months). A posterior arthroscopic TCC resection was performed. The plantar footprint, subtalar motion, pain, and the American Orthopaedic Foot & Ankle Society Ankle-Hindfoot scale score were evaluated preoperatively and postoperatively. Preoperative computed tomography (CT) scans were used to classify the coalition according to the Rozansky classification, to measure the percentage of involvement of the surface area, and to determine the degree of hindfoot valgus. Postoperative CT scans at 1 year (n = 15) and 3 years (n = 5) were used to assess recurrences. Patient satisfaction was also evaluated. The TCC distribution according to the Rozansky classification was type I in 7 cases, type II in 3, type III in 3, and type IV in 3. In all cases the arthroscopic approach enabled complete coalition resection. All patients increased by at least 1 stage in the footprint classification and showed clinical sub...Continue Reading

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Citations

Sep 4, 2016·Skeletal Radiology·Erin FitzGerald AlaiaCatherine N Petchprapa
Jun 21, 2017·EFORT Open Reviews·Tahir Ögüt, N Selcuk Yontar
Feb 20, 2018·Journal of Children's Orthopaedics·J J StokmanK Noonan
Dec 4, 2019·Current Opinion in Pediatrics·Jamil F SoniCarolina Matsunaga
Mar 27, 2020·BMC Musculoskeletal Disorders·Giovanni Luigi Di GennaroGiovanni Trisolino
Apr 18, 2018·Foot & Ankle International·Wael AldahshanAshraf Mohamed Abdelaziz

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