Tarsal CoalitionsLong‐Term Results of Surgical Treatment
作者:
Marc Swiontkowski,
Pierce Scranton,
Sigvard Hansen,
期刊:
Journal of Pediatric Orthopaedics
(OVID Available online 1983)
卷期:
Volume 3,
issue 3
页码: 287-292
ISSN:0271-6798
年代: 1983
出版商: OVID
关键词: Tarsal coalition;Coalition resection;Diagnostic radiology;Talar traction spur
数据来源: OVID
摘要:
We reviewed 40 patients who had undergone 57 operations for tarsal coalition between 1965 and 1980. Ten patients were treated for talocal-caneal coalitions. Four had successful resections and the remainder had successful single or combination arthrodesis. Thirty patients had 39 calcaneona-vicular resections and five primary triple arthrodeses. In the entire series only two patients had a poor end result due to either technically poor surgery or failed calcaneonavicular resection because of advanced degeneration. Poly-tomography, computed tomography, or both were valuable in determining if talocalcaneal coalition resection was feasible. Care must be taken in evaluating the talonavicular joint for degenerative changes. The talar “beak” is not necessarily a degenerative spur, but rather a traction process occurring secondary to increased motion.
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