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Hindfoot Deformity Corrected With Double Versus Triple Arthrodesis: Radiographic Comparison.
J Foot Ankle Surg. 2015 May-Jun; 54(3):424-7.JF

Abstract

Hindfoot fusion is capable of correcting hindfoot deformities. Typically, this has been done through triple arthrodesis. Recently, there has been some discussion of a double arthrodesis, sparing the calcaneocuboid joint. We compared the radiographic corrective ability of these 2 fusion techniques. A retrospective radiographic review was performed of 20 consecutive triple arthrodeses (triple) and 20 consecutive talonavicular and subtalar arthrodesis with calcaneocuboid preservation (double). Additional midfoot arthrodesis or osteotomy was performed as needed in each group. The preoperative measurements were compared to those from standing weightbearing films after fusion postoperatively. The angular measurements included the anteroposterior and lateral talar–first metatarsal line (Meary's and Simmons) and the anteroposterior and lateral talocalcaneal angle. Both groups demonstrated a statistically significant reduction in deformity and a return to more normal radiographic findings after arthrodesis (p < .05). The 2 groups did not differ statistically in preoperative deformity or correction obtained (p > .05). Traditionally, triple arthrodesis has been advocated for significant hindfoot deformity that is irreducible. Recent studies have questioned the need for inclusion of the calcaneocuboid joint in the arthrodesis, in particular, in a pronated, valgus-type foot. In addition, others have advocated a strictly medial approach to hindfoot fusion, necessarily avoiding the calcaneocuboid joint. Our findings agree with the assertion that hindfoot deformity can be adequately and reliably corrected through hindfoot arthrodesis whether or not the calcaneocuboid joint is included.

Authors

No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

25432460

Citation

DeVries, J George, and Brandon Scharer. "Hindfoot Deformity Corrected With Double Versus Triple Arthrodesis: Radiographic Comparison." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 54, no. 3, 2015, pp. 424-7.
DeVries JG, Scharer B. Hindfoot Deformity Corrected With Double Versus Triple Arthrodesis: Radiographic Comparison. J Foot Ankle Surg. 2015;54(3):424-7.
DeVries, J. G., & Scharer, B. (2015). Hindfoot Deformity Corrected With Double Versus Triple Arthrodesis: Radiographic Comparison. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 54(3), 424-7.
DeVries JG, Scharer B. Hindfoot Deformity Corrected With Double Versus Triple Arthrodesis: Radiographic Comparison. J Foot Ankle Surg. 2015 May-Jun;54(3):424-7. PubMed PMID: 25432460.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hindfoot Deformity Corrected With Double Versus Triple Arthrodesis: Radiographic Comparison. AU - DeVries,J George, AU - Scharer,Brandon, PY - 2014/01/23/received PY - 2014/11/30/entrez PY - 2014/11/30/pubmed PY - 2016/3/29/medline SP - 424 EP - 7 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 - 54 IS - 3 N2 - Hindfoot fusion is capable of correcting hindfoot deformities. Typically, this has been done through triple arthrodesis. Recently, there has been some discussion of a double arthrodesis, sparing the calcaneocuboid joint. We compared the radiographic corrective ability of these 2 fusion techniques. A retrospective radiographic review was performed of 20 consecutive triple arthrodeses (triple) and 20 consecutive talonavicular and subtalar arthrodesis with calcaneocuboid preservation (double). Additional midfoot arthrodesis or osteotomy was performed as needed in each group. The preoperative measurements were compared to those from standing weightbearing films after fusion postoperatively. The angular measurements included the anteroposterior and lateral talar–first metatarsal line (Meary's and Simmons) and the anteroposterior and lateral talocalcaneal angle. Both groups demonstrated a statistically significant reduction in deformity and a return to more normal radiographic findings after arthrodesis (p < .05). The 2 groups did not differ statistically in preoperative deformity or correction obtained (p > .05). Traditionally, triple arthrodesis has been advocated for significant hindfoot deformity that is irreducible. Recent studies have questioned the need for inclusion of the calcaneocuboid joint in the arthrodesis, in particular, in a pronated, valgus-type foot. In addition, others have advocated a strictly medial approach to hindfoot fusion, necessarily avoiding the calcaneocuboid joint. Our findings agree with the assertion that hindfoot deformity can be adequately and reliably corrected through hindfoot arthrodesis whether or not the calcaneocuboid joint is included. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/25432460/Hindfoot_Deformity_Corrected_With_Double_Versus_Triple_Arthrodesis:_Radiographic_Comparison_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(14)00449-9 DB - PRIME DP - Unbound Medicine ER -