Tags

Type your tag names separated by a space and hit enter

Bilateral single-stage middle facet talocalcaneal coalition resection combined with flatfoot reconstruction: a report of 3 cases and review of the literature. Investigations involving middle facet coalitions--part 1.
J Foot Ankle Surg. 2008 May-Jun; 47(3):180-90.JF

Abstract

Talocalcaneal middle facet coalitions are associated with rigid pes planovalgus that often requires surgical intervention. Simple resection of the coalition is preferred for symptomatic cases in the absence of rearfoot arthritis. While resection of the coalition will remove the osseous restriction of motion and may eliminate pain, the procedure does not specifically correct the concomitant pes planovalgus. In this report of 6 feet in 3 patients, we advocate combining resection of the coalition with concomitant flatfoot reconstruction in a single-stage operation. The patients in this series averaged 13.67 (range 12-17) years of age at the time of their foot surgeries, and their follow-up averaged 30 (range 16-54) months. All of the patients displayed bilateral middle facet talocalcaneal coalitions and underwent bilateral resection combined with flatfoot reconstruction. Each patient had 1 foot corrected followed by a period of at least 6 months before the contralateral foot was corrected. The mean postoperative American Orthopaedic Foot and Ankle Society ankle-hindfoot score was excellent (94.33+/-2.81 points) overall. The median radiographic values for calcaneal inclination, Meary's, and anteroposterior talar-first metatarsal angles demonstrated statistically significant improvements: 9 degrees (3 degrees, 13 degrees) (P= .0273), 4 degrees (2 degrees, 7 degrees) (P= .0269), and 6 degrees (3 degrees, 11 degrees) (P= .0277), respectively, and all feet demonstrated improved subtalar joint motion without pain. Although long-term results remain to be determined in a larger cohort, it is hoped that this combined approach to talocalcaneal coalition will delay or obviate future rearfoot arthrosis and the need for arthrodesis.

LEVEL OF CLINICAL EVIDENCE

4.

Authors+Show Affiliations

Department of Podiatry, Kaiser Foundation Hospital, Vallejo, CA, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

18455663

Citation

Kernbach, Klaus J., et al. "Bilateral Single-stage Middle Facet Talocalcaneal Coalition Resection Combined With Flatfoot Reconstruction: a Report of 3 Cases and Review of the Literature. Investigations Involving Middle Facet Coalitions--part 1." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 47, no. 3, 2008, pp. 180-90.
Kernbach KJ, Blitz NM, Rush SM. Bilateral single-stage middle facet talocalcaneal coalition resection combined with flatfoot reconstruction: a report of 3 cases and review of the literature. Investigations involving middle facet coalitions--part 1. J Foot Ankle Surg. 2008;47(3):180-90.
Kernbach, K. J., Blitz, N. M., & Rush, S. M. (2008). Bilateral single-stage middle facet talocalcaneal coalition resection combined with flatfoot reconstruction: a report of 3 cases and review of the literature. Investigations involving middle facet coalitions--part 1. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 47(3), 180-90. https://doi.org/10.1053/j.jfas.2008.02.005
Kernbach KJ, Blitz NM, Rush SM. Bilateral Single-stage Middle Facet Talocalcaneal Coalition Resection Combined With Flatfoot Reconstruction: a Report of 3 Cases and Review of the Literature. Investigations Involving Middle Facet Coalitions--part 1. J Foot Ankle Surg. 2008 May-Jun;47(3):180-90. PubMed PMID: 18455663.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral single-stage middle facet talocalcaneal coalition resection combined with flatfoot reconstruction: a report of 3 cases and review of the literature. Investigations involving middle facet coalitions--part 1. AU - Kernbach,Klaus J, AU - Blitz,Neal M, AU - Rush,Shannon M, PY - 2007/06/13/received PY - 2008/5/6/pubmed PY - 2008/8/8/medline PY - 2008/5/6/entrez SP - 180 EP - 90 JF - The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons JO - J Foot Ankle Surg VL - 47 IS - 3 N2 - UNLABELLED: Talocalcaneal middle facet coalitions are associated with rigid pes planovalgus that often requires surgical intervention. Simple resection of the coalition is preferred for symptomatic cases in the absence of rearfoot arthritis. While resection of the coalition will remove the osseous restriction of motion and may eliminate pain, the procedure does not specifically correct the concomitant pes planovalgus. In this report of 6 feet in 3 patients, we advocate combining resection of the coalition with concomitant flatfoot reconstruction in a single-stage operation. The patients in this series averaged 13.67 (range 12-17) years of age at the time of their foot surgeries, and their follow-up averaged 30 (range 16-54) months. All of the patients displayed bilateral middle facet talocalcaneal coalitions and underwent bilateral resection combined with flatfoot reconstruction. Each patient had 1 foot corrected followed by a period of at least 6 months before the contralateral foot was corrected. The mean postoperative American Orthopaedic Foot and Ankle Society ankle-hindfoot score was excellent (94.33+/-2.81 points) overall. The median radiographic values for calcaneal inclination, Meary's, and anteroposterior talar-first metatarsal angles demonstrated statistically significant improvements: 9 degrees (3 degrees, 13 degrees) (P= .0273), 4 degrees (2 degrees, 7 degrees) (P= .0269), and 6 degrees (3 degrees, 11 degrees) (P= .0277), respectively, and all feet demonstrated improved subtalar joint motion without pain. Although long-term results remain to be determined in a larger cohort, it is hoped that this combined approach to talocalcaneal coalition will delay or obviate future rearfoot arthrosis and the need for arthrodesis. LEVEL OF CLINICAL EVIDENCE: 4. SN - 1067-2516 UR - https://www.unboundmedicine.com/medline/citation/18455663/Bilateral_single_stage_middle_facet_talocalcaneal_coalition_resection_combined_with_flatfoot_reconstruction:_a_report_of_3_cases_and_review_of_the_literature__Investigations_involving_middle_facet_coalitions__part_1_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(08)00034-3 DB - PRIME DP - Unbound Medicine ER -