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Triple arthrodesis: tips and tricks to navigate trouble.

Nathan J Kiewiet1, Stephen K Benirschke2, Michael E Brage2

  • 1Drisko, Fee & Parkins Orthopaedics, PC, 19550 East 39th Street, Suite 410, Independence, MO 64057, USA.

Foot and Ankle Clinics
|August 18, 2014
PubMed
Summary
This summary is machine-generated.

Triple arthrodesis effectively corrects hindfoot deformities. Meticulous surgical planning and technique are crucial to prevent complications and achieve a stable, plantigrade foot.

Keywords:
Calcaneocuboid arthrodesisSubtalar arthrodesisTalonavicular arthrodesisTriple arthrodesis

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction

Background:

  • Triple arthrodesis is a surgical procedure used to address hindfoot deformities.
  • Common causes include trauma, rheumatoid arthritis, and posterior tibial tendon dysfunction.
  • Postoperative complications can arise from inadequate preoperative evaluation or surgical technique.

Purpose of the Study:

  • To provide guidance on avoiding common complications associated with triple arthrodesis.
  • To outline strategies for achieving a plantigrade and stable foot post-surgery.
  • To present salvage options for cases of malunited triple arthrodesis.

Main Methods:

  • Review of preoperative assessment protocols for triple arthrodesis.
  • Discussion of critical surgical techniques to minimize complications.
  • Presentation of techniques for managing malunited triple arthrodesis.

Main Results:

  • Emphasis on meticulous preoperative evaluation and surgical technique as key to successful outcomes.
  • Strategies for achieving a plantigrade and stable foot are detailed.
  • Salvage options for malunited triple arthrodesis are described.

Conclusions:

  • Careful preoperative planning and precise surgical execution are essential for successful triple arthrodesis.
  • The described techniques aim to reduce postoperative complications.
  • Management strategies for malunited fusions are provided to improve patient outcomes.