title: Realignment considerations in the triple arthrodesis.
abstract: Triple arthrodesis is indicated for pain, deformity, and instability of the tritarsal complex. Although osseous consolidation is important to outcome, success depends primarily on appropriate realignment. A poorly positioned triple arthrodesis may result in continued pain and disability, gait disturbances, excessive stress in adjacent joints, and footwear problems. We present a protocol for intraoperative realignment of the triple arthrodesis guided by image intensification. This protocol for alignment evaluation was followed in nine patients who underwent triple arthrodesis for a variety of pathologies.
authors.affiliation: Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh, PA 15224, USA.
authors.forename: Alan R
authors.initials: AR
authors.lastname: Catanzariti
authors.forename: Robert W
authors.initials: RW
authors.lastname: Mendicino
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Whitaker
authors.forename: Christopher L
authors.initials: CL
authors.lastname: Reeves
mesh_terms: D001174:Arthrodesis / Q000379:methods*; D017760:Bone Malalignment / Q000000981:diagnostic imaging / Q000601:surgery*; D005471:Fluoroscopy; D005528:Foot / Q000000981:diagnostic imaging; D006365:Heel / Q000000981:diagnostic imaging; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D007866:Leg / Q000000981:diagnostic imaging; D013640:Tarsal Joints / Q000601:surgery