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Talo-calcaneal coalition treated with resection.

L G Danielsson

    Journal of Pediatric Orthopedics
    |September 1, 1987
    PubMed
    Summary

    Surgical resection of talocalcaneal coalition, a foot abnormality, can successfully relieve pain and restore function. This procedure involves removing the coalition bar and using fat for interposition, with no recurrence observed in long-term follow-ups.

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    Area of Science:

    • Orthopedic surgery
    • Foot and ankle reconstruction
    • Medical imaging

    Background:

    • Talocalcaneal coalition is a congenital fusion of the talus and calcaneus bones.
    • It can cause significant pain and functional limitations in the foot and ankle.
    • Accurate diagnosis is crucial for effective treatment planning.

    Purpose of the Study:

    • To evaluate the efficacy of surgical resection and fat interposition for symptomatic talocalcaneal coalition.
    • To assess long-term outcomes, including pain relief, functional recovery, and recurrence rates.
    • To highlight the role of computed tomography in diagnosing talocalcaneal coalition.

    Main Methods:

    • Surgical resection of the coalition bar connecting the talus and calcaneus.
    • Interposition of autologous fat graft to prevent re-fusion.
    • Clinical and radiological assessment at long-term follow-up (1.5 to 14 years).
    • Computed tomography (CT) scanning for diagnosis.

    Main Results:

    • All three patients experienced successful treatment outcomes.
    • Complete resolution of pain and restoration of good foot function.
    • Excellent range of motion in the affected joint was maintained.
    • No evidence of coalition bar regeneration or re-fusion at follow-up.

    Conclusions:

    • Surgical resection with fat interposition is a viable and effective treatment for symptomatic talocalcaneal coalition.
    • This technique provides durable pain relief and functional improvement without fusion.
    • Computed tomography is the preferred imaging modality for diagnosing talocalcaneal coalition.

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