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Triple arthrodesis.

P T Fortin1, A K Walling

  • 1William Beaumont Hospital, Royal Oak, MI, USA.

Clinical Orthopaedics and Related Research
|January 11, 2000
PubMed
Summary
This summary is machine-generated.

Triple arthrodesis effectively treats adult acquired flatfoot, significantly improving patient outcomes and satisfaction. This surgical fusion of hindfoot joints offers a viable solution for severe deformities.

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Area of Science:

  • Orthopedics
  • Foot and Ankle Surgery

Background:

  • Adult acquired flatfoot involves progressive deformity.
  • Late-stage cases often require surgical intervention.

Purpose of the Study:

  • To evaluate the outcomes of triple arthrodesis for adult acquired flatfoot.
  • To assess patient satisfaction and functional improvement after the procedure.

Main Methods:

  • Retrospective analysis of 25 adult patients with 32 fused hind-feet.
  • Standardized triple arthrodesis technique with rigid internal fixation.
  • Evaluation at an average of 4.3 years post-surgery.

Main Results:

  • American Orthopaedic Foot and Ankle Society hindfoot scores improved by an average of 36 points.

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  • High patient satisfaction reported, with 24 out of 25 patients willing to undergo surgery again.
  • One nonunion and two malunions occurred, requiring revision procedures.

    • Conclusions:

    • Triple arthrodesis is an acceptable treatment for Stage 3 or 4 adult acquired flatfoot deformities.
    • Careful attention to surgical positioning is crucial for successful fusion and outcomes.
    • The procedure leads to significant functional improvement and high patient satisfaction.