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Coalitions of the Tarsal Bones
Georg Klammer1, Norman Espinosa1, Lukas Daniel Iselin2
1Foot and Ankle Surgery, FussInstitut Zurich, Kappelistrasse 7, Zurich 8002, Switzerland.
Foot and Ankle Clinics
|August 12, 2018
Summary
Tarsal coalitions, abnormal bone fusions in the foot, can cause stiffness and deformities. Surgical resection of these coalitions offers good outcomes for patients.
Area of Science:
- Orthopedic surgery
- Foot and ankle anatomy
- Pediatric orthopedics
Background:
- Tarsal coalitions arise from incomplete separation of tarsal bones during development.
- Common types include calcaneonavicular and talocalcaneal coalitions.
- These conditions lead to subtalar joint stiffness, abnormal foot mechanics, and increased injury risk.
Purpose of the Study:
- To review the pathophysiology and treatment of tarsal coalitions.
- To highlight the benefits of surgical resection and tissue interposition.
Main Methods:
- Literature review of tarsal coalition diagnosis and management.
- Analysis of surgical outcomes for coalition resection.
- Evaluation of techniques to prevent reossification.
Main Results:
- Surgical resection of tarsal coalitions demonstrates favorable results.
- Tissue interposition techniques can decrease the likelihood of reossification.
- Addressing associated foot deformities concurrently improves surgical success.
Conclusions:
- Tarsal coalition resection is an effective treatment for subtalar stiffness and related deformities.
- Preventing reossification and managing concomitant issues are crucial for long-term outcomes.
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