Pantalar arthrodesis: a long-term follow-up.
Eighty-three pantalar arthrodeses in 69 patients performed at the Shriners Hospital for Crippled Children, Greenville, South Carolina, between 1941 and 1977 were evaluated. Follow-up was from 1 to 33 years. Diagnoses included poliomyelitis, myelodysplasia, arthrogryposis, clubfeet, and extremity or spinal cord trauma. Methods of fusion were one-stage pantalar arthrodesis, two-stage triple ankle fusion, one-stage completion of prior tarsal fusion, and one-stage denudation of the talus. Pantalar arthrodesis is successful in the paralytic sensitive foot with a stable knee and there is no greater incidence of nonunion in the one-stage (Hunt-Thompson) procedure than in the two-stage procedure. Complications and failure of fusion are common in the insensitive foot.
D000843:Ankle Joint / Q000601:surgery; D001174:Arthrodesis; D005260:Female; D005500:Follow-Up Studies; D005528:Foot / Q000473:pathology; D005531:Foot Deformities, Acquired / Q000601:surgery; D006801:Humans; D007866:Leg; D008297:Male; D010243:Paralysis / Q000150:complications; D011183:Postoperative Complications; D011859:Radiography; D013640:Tarsal Joints / Q000000981:diagnostic imaging / Q000601:surgery*