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Talocalcaneal bar resection

M Dutoit1

  • 1Hôpital Orthopédique de la Suisse Romande, Lausanne, Switzerland.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|June 25, 1998
PubMed
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Talocalcaneal bar resection effectively treats young patients with foot deformities after conservative methods fail. This surgery shows good outcomes, with most patients experiencing pain relief and restored subtalar joint mobility.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Foot and Ankle Surgery

Background:

  • Talocalcaneal bars can cause significant foot pain and limited mobility in young individuals.
  • Conservative treatments, including medication and physical therapy, often fail to resolve these deformities.

Purpose of the Study:

  • To evaluate the efficacy of talocalcaneal bar resection in pediatric patients.
  • To assess long-term outcomes, including pain, activity levels, and subtalar joint mobility, following surgical intervention.

Main Methods:

  • Retrospective review of eight young patients (mean age 14.1 years) who underwent talocalcaneal bar resection.
  • Patients had previously undergone conservative treatment for an average of 20.3 months.
  • Follow-up averaged 54 months, assessing for recurrence, deformity, pain, activity, and subtalar joint mobility.

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Main Results:

  • No recurrence or secondary deformity was observed post-surgery.
  • Four patients were pain-free with no activity restrictions; others reported pain during sports or strenuous activities.
  • Subtalar joint mobility was fully restored in four patients, partially in three, and limited in one.

Conclusions:

  • Talocalcaneal bar resection is the preferred surgical treatment for young patients with persistent foot deformities after conservative measures fail.
  • Subtalar joint arthrodesis is not indicated in this patient population.