Results of the surgical treatment of calcaneo-navicular coalito.
We present the results after surgical treatment in 15 patients who suffered from calcaneo-navicular coalitio. A total of 20 operations were performed on 19 feet (3 T-arthrodesis, 5 simple resections, 9 resections with fat interposition, 3 resections with muscle interposition). At the time of follow-up, the patients were examined clinically and radiologically. In addition, different functional tests were performed (heel-tip test, balance test, single-leg high jump, single-leg jumping course). Ten of 17 patients who underwent radiographic study at the follow-up had a successful result. Patients who had a coalitio showed a tibial rotation (heel-tip test) of 11.5 degrees, and those patients without a coalitio had a tibia rotation of 20.3 degrees. Concerning the functional outcome, 12 of 17 patients had a successful result. The range of motion of the subtalar joint did not correlate with the functional capacity of the ankle. Seven of 20 patients subjectively judged the outcome as a failure. The worst results were found in patients with pre-existing degenerative changes at the time of resection.
Jerosch
J
J
Westfälische Wilhelms University Münster, Department of Orthopaedic Surgery, Germany.
Lindner
N
N
Finnen
D A
DA
D000293:Adolescent; D000843:Ankle Joint / Q000503:physiopathology; D001174:Arthrodesis; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications; D011859:Radiography; D016059:Range of Motion, Articular; D013580:Synostosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000601:surgery*; D013977:Tibia / Q000000981:diagnostic imaging; D016896:Treatment Outcome