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Calcaneonavicular bar resection.

S A Alter1

  • 1Podiatry Hospital of Pittsburgh, Pennsylvania.

Clinics in Podiatric Medicine and Surgery
|July 1, 1991
PubMed
Summary
This summary is machine-generated.

Surgical resection of calcaneonavicular bars yields satisfactory results in 75% of cases. Key factors for success include adequate bar removal, good subtalar joint motion, and absence of rearfoot degeneration or other coalitions.

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Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Foot and Ankle Reconstruction

Background:

  • Calcaneonavicular bars are a common cause of painful flatfoot in children and adolescents.
  • Surgical resection is the primary treatment, but recurrence and poor outcomes can occur.

Purpose of the Study:

  • To evaluate the outcomes of calcaneonavicular bar resection.
  • To identify factors influencing surgical success and recurrence.

Main Methods:

  • Retrospective review of 16 feet undergoing calcaneonavicular bar resection.
  • Analysis of surgical technique, ossification status, presence of other coalitions, rearfoot degeneration, and subtalar joint motion.

Main Results:

  • Satisfactory results were achieved in 75% (12/16) of feet.

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  • Inadequate resection correlated with bar regrowth (recurrence).
  • Good subtalar joint motion and absence of rearfoot degeneration predicted favorable outcomes.
  • Concurrent coalitions negatively impacted results.
  • Ossification status did not affect outcomes without rearfoot degeneration.

    • Conclusions:

    • Surgical resection of calcaneonavicular bars can be effective, with 75% satisfactory outcomes.
    • Careful and complete resection is crucial to prevent recurrence.
    • Pre-existing rearfoot degeneration and additional tarsal coalitions are poor prognostic indicators.