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[Calcaneonavicular coalition and its treatment]
Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
|October 1, 1989
Summary
Surgical resection of calcaneonavicular coalition, a common cause of pediatric flatfoot, is recommended for optimal outcomes. Early surgical intervention around age 11 is crucial for preventing long-term foot problems.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Foot and Ankle Surgery
Background:
- Calcaneonavicular coalition is the most frequent tarsal coalition.
- It typically presents around age 10 with peroneal spastic flatfoot.
- Understanding the biomechanics of this congenital defect is essential.
Observation:
- The study evaluates surgical resection of the bony bridge between the calcaneum and navicular.
- A muscular flap from the short extensor of toes was used to fill the defect.
- The authors reviewed outcomes in 6 feet.
Findings:
- Surgical resection is favored over conservative therapy due to its simplicity and effectiveness.
- For advanced arthrosis, talonavicular or triple arthrodesis are recommended.
- Timely surgical intervention, around age 11, is critical.
Implications:
- Early diagnosis and treatment of calcaneonavicular coalition can prevent debilitating foot conditions.
- An oblique dorsoplantar projection is vital for accurate diagnosis, often missed in cases of painful flatfoot.
- This approach can significantly improve long-term foot function and reduce pain in affected children.