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Related Experiment Videos

Triple arthrodesis in adults.

G L Bennett1, C E Graham, D M Mauldin

  • 1University of Texas, Southwestern Medical School, Dallas.

Foot & Ankle
|December 1, 1991
PubMed
Summary

Triple arthrodesis surgery for hindfoot pain offers high patient satisfaction, with 95% reporting improvement. While technically demanding, this procedure can minimize complications when performed with proper surgical technique.

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction

Background:

  • Hindfoot pain and deformity significantly impact patient quality of life.
  • Triple arthrodesis is a surgical option for severe hindfoot conditions.

Purpose of the Study:

  • To evaluate the long-term outcomes and patient satisfaction following triple arthrodesis.
  • To assess the complication rates and radiographic changes after the procedure.

Main Methods:

  • Retrospective review of 22 adult patients undergoing triple arthrodesis.
  • Standardized two-incision technique with internal fixation was used.
  • Minimum 3-year follow-up including clinical and radiographic assessment.

Main Results:

  • Objective outcomes were good in 36%, fair in 59%, and poor in 5% of patients.
  • High patient satisfaction reported, with 95% feeling improved and willing to repeat the surgery.
  • Complications included two asymptomatic talonavicular nonunions; no infections or neuromas occurred.
  • Radiographic evidence of tibiotalar arthritis and midfoot arthritic progression was noted in 50% of patients.

Conclusions:

  • Triple arthrodesis can yield high patient satisfaction for hindfoot pain and deformity.
  • Careful surgical technique is crucial for minimizing complications.
  • Potential for post-operative tibiotalar arthritis and midfoot changes should be considered.

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