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Triple arthrodesis in neuromuscular disorders
E Mulier1, J De Rijcke, G Fabry
1Department of Orthopaedic Surgery, University Hospital, Pellenberg, Belgium.
Acta Orthopaedica Belgica
|January 1, 1990
Summary
Triple arthrodesis, a surgical fusion of three foot joints, can correct deformities but requires careful patient selection. Outcomes are often better for patients than surgeons, especially when varus deformity or pseudarthrosis is present.
Area of Science:
- Orthopedic surgery
- Foot and ankle reconstruction
Background:
- Triple arthrodesis fuses the calcaneocuboid, talonavicular, and talocalcaneal joints.
- This procedure aims to correct foot deformities and eliminate the need for bracing.
Purpose of the Study:
- To evaluate the outcomes of triple arthrodesis.
- To identify factors influencing surgical success and patient satisfaction.
Main Methods:
- Retrospective review of 25 triple arthrodesis cases.
- Analysis of patient demographics, deformity type, and surgical outcomes.
Main Results:
- Good results were uncommon in cases with varus deformity.
- Pseudarthrosis consistently led to poor outcomes.
- Patient satisfaction often exceeded surgeon satisfaction with the results.
Conclusions:
- Triple arthrodesis is indicated for specific symptomatic foot deformities.
- Patient age (minimum 12 years) and absence of varus deformity/pseudarthrosis are crucial for favorable outcomes.
- Managing expectations regarding patient versus surgeon satisfaction is important.