Triple Arthrodesis for Adult Acquired Flatfoot

被引:9
作者
Catanzariti, Alan R. [1 ]
Dix, Brian T. [1 ]
Richardson, Phillip E. [1 ]
Mendicino, Robert W. [2 ,3 ]
机构
[1] West Penn Hosp, Div Foot & Ankle Surg, Pittsburgh, PA 15224 USA
[2] OhioHlth Orthoped Surg, Hilliard, OH USA
[3] West Penn Hosp, Pittsburgh, PA 15224 USA
关键词
Adult acquired flatfoot; Triple arthrodesis; Image intensification; Bone graft;
D O I
10.1016/j.cpm.2014.03.004
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The primary goal of triple arthrodesis for stage III and IV adult acquired flatfoot is to obtain a well-aligned plantigrade foot that will support the ankle in optimal alignment. Ancillary procedures including posterior muscle group lengthening, medial displacement calcaneal osteotomy, medial column stabilization, peroneus brevis tenotomy, or transfer and harvest of regional bone graft are often necessary to achieve adequate realignment. Image intensification is helpful in confirming optimal realignment before fixation. Results of triple arthrodesis are enhanced with adequate preparation of joint surfaces, bone graft/orthobiologics, 2-point fixation of all 3 tritarsal joints, and a vertical heel position.
引用
收藏
页码:415 / +
页数:20
相关论文
共 7 条
[1]   Triple arthrodesis in adults using rigid internal fixation: An assessment of outcome [J].
Bednarz, PA ;
Monroe, MT ;
Manoli, A .
FOOT & ANKLE INTERNATIONAL, 1999, 20 (06) :356-363
[2]   TRIPLE ARTHRODESIS IN ADULTS [J].
BENNETT, GL ;
GRAHAM, CE ;
MAULDIN, DM .
FOOT & ANKLE, 1991, 12 (03) :138-143
[3]  
Catanzariti AR, 2012, MCGLAMRYS COMPREHENS, P636
[4]  
Fortin PT, 1999, CLIN ORTHOP RELAT R, P91
[5]   Clinical outcome after primary triple arthrodesis [J].
Pell, RF ;
Myerson, MS ;
Schon, LC .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2000, 82A (01) :47-57
[6]  
RESNICK RB, 1995, FOOT ANKLE INT, V16, P314
[7]   Deltoid ligament strain after correction of acquired flatfoot deformity by triple arthrodesis [J].
Song, SJ ;
Lee, S ;
O'Malley, MJ ;
Otis, JC ;
Sung, IH ;
Deland, JT .
FOOT & ANKLE INTERNATIONAL, 2000, 21 (07) :573-577