Triple arthrodesis for adult acquired flatfoot.
Document Type
Article
Publication Title
Clinics in podiatric medicine and surgery
Abstract
The primary goal of triple arthrodesis for stage III and IV adult acquired flatfoot is to obtain a well-aligned plantigrade foot that will support the ankle in optimal alignment. Ancillary procedures including posterior muscle group lengthening, medial displacement calcaneal osteotomy, medial column stabilization, peroneus brevis tenotomy, or transfer and harvest of regional bone graft are often necessary to achieve adequate realignment. Image intensification is helpful in confirming optimal realignment before fixation. Results of triple arthrodesis are enhanced with adequate preparation of joint surfaces, bone graft/orthobiologics, 2-point fixation of all 3 tritarsal joints, and a vertical heel position.
First Page
415
Last Page
433
DOI
10.1016/j.cpm.2014.03.004
Publication Date
7-1-2014
Recommended Citation
Catanzariti AR, Dix BT, Richardson PE, Mendicino RW. Triple arthrodesis for adult acquired flatfoot. Clin Podiatr Med Surg. 2014 Jul;31(3):415-33. doi: 10.1016/j.cpm.2014.03.004. PMID: 24980931.