Double and Triple Tarsal Fusions in the Severe Rigid Flatfoot Deformity.

Journal Article (Journal Article;Review)

A flatfoot deformity is a multiplanar foot deformity characterized by forefoot abduction and supination and hindfoot valgus. With progressive pathology, a rigid deformity may develop. In the setting of a rigid deformity, the appropriate procedure to use is not without controversy. The extent of joints to involve in the arthrodesis depends on the ability to obtain a plantigrade foot. Both double and triple arthrodesis have been suggested. Care must be taken to avoid lateral column shortening and loss of foot reduction when fusing the CC joint. The concerns about lateral skin breakdown led some surgeons to describe a single medial incision for a triple or modified double arthrodesis. The necessity of bone grafting has been controversial. Implant selection is essential to achieve solid stabilization of the arthrodesis sites. To decrease the risk of overcorrection and malunion, the surgeon should be familiar with the hindfoot biomechanics and generate, based on the clinical examination and imaging, a meticulous preoperative plan to address and balance both the soft tissue and bony deformity.

Full Text

Duke Authors

Cited Authors

  • Madi, NS; Fletcher, AN; Easley, ME

Published Date

  • December 2022

Published In

Volume / Issue

  • 27 / 4

Start / End Page

  • 805 - 818

PubMed ID

  • 36368798

Electronic International Standard Serial Number (EISSN)

  • 1558-1934

Digital Object Identifier (DOI)

  • 10.1016/j.fcl.2022.08.003


  • eng

Conference Location

  • United States