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Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patients
Amol Saxena1, Ryan Allen2, Anthony Wright3
1Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA, USA.
Background:
Resection of tarsal coalitions provides good patient satisfaction scores, reduced pain, and improved long-term function in both athletic and non-athletic populations. This study aimed to determine when athletic patients undergoing resection of a tarsal coalition were able to return to their desired activity, and whether they experienced a decreased desired activity level (DDA).
Methods:
Data on a total of 78 patients who underwent 97 tarsal coalition resections (49 talocalcaneal coalitions, 47 calcaneo-navicular, 14 cuboid-navicular, and three cuneo-navicular; some patients had more than one coalition) operated between January 2001 and June 2020 were prospectively collected. To subjectively assess outcomes, the Roles and Maudsley score (RM) was utilized.
Results:
At an average follow-up from the index procedure of 33.6 ± 41.5 months, return to activity for the entire cohort was 18.3 ± 9.6 weeks. Post-RM was 1.3 ± 0.6.
Conclusion:
Surgical excision of tarsal coalitions produced favorable results, with most patients able to return to their desired activity level.
Level Of Evidence:
IV.
