Realignment considerations in the triple arthrodesis.
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.
Catanzariti
Alan R
AR
Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh, PA 15224, USA.
Mendicino
Robert W
RW
Whitaker
Jeffrey M
JM
Reeves
Christopher L
CL
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