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Nonresection triple arthrodesis: a retrospective analysis

C G Kissel1, T J Hulst, D K Blacklidge

  • 1Section of Podiatric Surgery, Hutzel Hospital/Detroit Medical Center, MI, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|January 8, 1999
PubMed
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This case series introduces a nonresection technique for triple arthrodesis, offering advantages in reducible deformities. The study found low nonunion rates and minimal bone shortening, supporting this surgical approach.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Surgical Techniques

Background:

  • Triple arthrodesis is a complex procedure often involving bone resection.
  • A nonresection technique may offer advantages in specific cases of reducible deformity.
  • This technique aims to minimize bone shortening and improve bony apposition.

Purpose of the Study:

  • To examine the outcomes of triple arthrodesis using a nonresection technique.
  • To evaluate the technical feasibility and clinical results of this approach.
  • To compare fusion times between different fixation methods within the nonresection technique.

Main Methods:

  • A case series of 14 patients undergoing nonresection triple arthrodesis.
  • Procedures performed at two medical centers with follow-up ranging from 6 to 36 months.

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  • Subjective patient-reported outcomes and radiographic evaluations were used.
  • Main Results:

    • Low incidence of nonunion (2% of joints) and minimal bone shortening (mean 0.1 cm).
    • Mean fusion time was comparable between screw fixation (9.91 weeks) and non-screw fixation (8.96 weeks).
    • At follow-up, 50% of patients reported moderate daily pain, while 50% reported no or mild occasional pain.

    Conclusions:

    • The nonresection technique for triple arthrodesis demonstrates positive subjective and objective results.
    • This method appears to be a viable alternative, particularly in cases with reducible deformity.
    • Further comparative studies are warranted to directly assess its efficacy against resection techniques.