Skip to main content

Talocalcaneal coalition resection and bone block subtalar joint arthrodesis

Publication ,  Journal Article
Iehl, C; Auch, E; Vivtcharenko, V; Mansur, NSB; Kowalski, H; Cesar Netto, CD
Published in: Journal of the Foot & Ankle
August 30, 2020

In this technical tip, we present the case of an obese 17-year-old female diagnosed with a severe, rigid, and symptomatic flatfoot on a background of exuberant talocalcaneal and residual calcaneonavicular coalition. Through a technical modification of the fusion resection, both coalitions were quickly and safely removed with two single cuts of an oscillating saw, resecting a medial wedge through a medial approach, without the need for “peel-off” tarsal coalition resection. To protect and guide the resection osteotomy, one Freer elevator ws inserted under direct visualization on the patent posterolateral aspect of the subtalar joint posterior facet and a second elevator was positioned underneath the talar neck. Under fluoroscopic guidance, an osteotomy was performed connecting these two points. The patient also received a bone-block subtalar joint arthrodesis and a Cotton osteotomy. Good short-term alignment correction and functional outcome were achieved. Level of Evidence V; Therapeutic Studies; Expert Opinion.

Duke Scholars

Published In

Journal of the Foot & Ankle

DOI

EISSN

2675-2980

Publication Date

August 30, 2020

Volume

14

Issue

2

Start / End Page

211 / 218

Publisher

Associacao Brasileira de Medicina e Cirurgia do Tornozelo e Pe (ABTPe)
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Iehl, C., Auch, E., Vivtcharenko, V., Mansur, N. S. B., Kowalski, H., & Cesar Netto, C. D. (2020). Talocalcaneal coalition resection and bone block subtalar joint arthrodesis. Journal of the Foot & Ankle, 14(2), 211–218. https://doi.org/10.30795/jfootankle.2020.v14.1190
Iehl, Caleb, Elijah Auch, Victoria Vivtcharenko, Nacime Salomão Barbachan Mansur, Heather Kowalski, and Cesar de Cesar Netto. “Talocalcaneal coalition resection and bone block subtalar joint arthrodesis.” Journal of the Foot & Ankle 14, no. 2 (August 30, 2020): 211–18. https://doi.org/10.30795/jfootankle.2020.v14.1190.
Iehl C, Auch E, Vivtcharenko V, Mansur NSB, Kowalski H, Cesar Netto CD. Talocalcaneal coalition resection and bone block subtalar joint arthrodesis. Journal of the Foot & Ankle. 2020 Aug 30;14(2):211–8.
Iehl, Caleb, et al. “Talocalcaneal coalition resection and bone block subtalar joint arthrodesis.” Journal of the Foot & Ankle, vol. 14, no. 2, Associacao Brasileira de Medicina e Cirurgia do Tornozelo e Pe (ABTPe), Aug. 2020, pp. 211–18. Crossref, doi:10.30795/jfootankle.2020.v14.1190.
Iehl C, Auch E, Vivtcharenko V, Mansur NSB, Kowalski H, Cesar Netto CD. Talocalcaneal coalition resection and bone block subtalar joint arthrodesis. Journal of the Foot & Ankle. Associacao Brasileira de Medicina e Cirurgia do Tornozelo e Pe (ABTPe); 2020 Aug 30;14(2):211–218.

Published In

Journal of the Foot & Ankle

DOI

EISSN

2675-2980

Publication Date

August 30, 2020

Volume

14

Issue

2

Start / End Page

211 / 218

Publisher

Associacao Brasileira de Medicina e Cirurgia do Tornozelo e Pe (ABTPe)