Primary Triple Arthrodesis for Management of Rigid Flatfoot Deformity

JBJS Essential Surgical Techniques
Jeffrey D Seybold, J Chris Coetzee

Abstract

Primary triple arthrodesis is a powerful and reliable procedure for stabilizing and correcting painful rigid flatfoot deformities with a low rate of complications. Pay careful attention to the history, physical examination, and weight-bearing radiographic studies as they are critical for selecting patients who will benefit from a triple arthrodesis. Position the patient supine on the operating table with the toes pointing straight up to the ceiling. For a standard triple arthrodesis, use 2 incisions: a lateral sinus tarsi incision, which allows exposure of the subtalar joint, CC joint, and lateral aspect of the TN joint, and a medial incision, which provides exposure of the TN joint. Ensure that joint preparation is thorough as this is critical for the success of any hindfoot arthrodesis. Reduce the TN joint first, followed by the subtalar joint, restoring a plantigrade foot and approximately 5° of hindfoot valgus alignment. Perform rigid fixation of the subtalar joint first, followed by fixation of the TN and CC joints. Accessory procedures are often required in addition to the triple arthrodesis to ensure that appropriate hindfoot alignment and a plantigrade foot are achieved. Perform a staged wound closure, taking care to ma...Continue Reading

References

Dec 1, 1991·Foot & Ankle·G L BennettD M Mauldin
Mar 1, 1986·The Journal of Bone and Joint Surgery. British Volume·P D Angus, H R Cowell
Mar 1, 1993·The Journal of Bone and Joint Surgery. American Volume·S C GravesK O Graves
Jul 8, 1999·Foot & Ankle International·P A BednarzA Manoli
Feb 1, 2000·The Journal of Bone and Joint Surgery. American Volume·R F PellL C Schon
Mar 2, 2005·The Journal of Bone and Joint Surgery. British Volume·P F RosenfeldT S Saxby
Oct 14, 2006·Foot & Ankle International·Vincent J SammarcoMahesh R Bagwe
Jul 1, 1948·Archives of Surgery·Z B FRIEDENBERG
Mar 20, 2008·Foot & Ankle International·Markus KnuppSari Ponzer
May 2, 2009·The Journal of Bone and Joint Surgery. British Volume·M KnuppB Hintermann

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Foot and Ankle Clinics
Markus KnuppBeat Hintermann
JBJS Essential Surgical Techniques
Paulo N FerraoAndrew Strydom
Foot & Ankle International
Blake E MooreGerard J Cush
© 2022 Meta ULC. All rights reserved