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Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
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Persistent Pain After Hindfoot Fusion.

David Vier1, John Kent Ellington2

  • 1Baylor University Medical Center at Dallas, 3500 Gaston Avenue, Dallas, TX 75246, USA.

Foot and Ankle Clinics
|June 9, 2022
PubMed
Summary

Persistent pain after hindfoot fusion is a significant challenge for orthopedic surgeons. Achieving a painless, plantigrade foot is the goal, but patient expectations and potential complications require careful management.

Keywords:
ComplicationsDeformityHindfoot fusionSubtalar fusion

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction

Background:

  • Persistent pain following hindfoot fusion presents a significant challenge in orthopedic surgery.
  • The hindfoot comprises the subtalar, talonavicular, and calcaneocuboid (CC) joints, often fused for various conditions including degenerative changes, deformities, and trauma.

Purpose of the Study:

  • To address the challenges associated with persistent pain after hindfoot fusion.
  • To discuss the goals of hindfoot fusion, including achieving a painless plantigrade foot.
  • To highlight the importance of managing patient expectations regarding surgical outcomes and potential complications.

Main Methods:

  • Review of common indications for hindfoot fusion.
  • Discussion of surgical goals and patient outcomes.
  • Emphasis on preoperative counseling and expectation management.

Main Results:

  • Hindfoot fusion aims for a pain-free, plantigrade foot, often without needing orthotics or braces.
  • Deformity correction may be achievable without necessarily including the calcaneocuboid (CC) joint in the fusion.

Conclusions:

  • Persistent pain after hindfoot fusion remains a complex issue for orthopedic surgeons.
  • Effective patient counseling regarding expectations and potential complications is crucial for successful hindfoot fusion outcomes.