title: The medial approach to triple arthrodesis. Indications and technique for management of rigid valgus deformities in high-risk patients.
abstract: Between 1995 and 2002 the authors treated 17 patients who had a rigid hindfoot valgus deformity, and for whom a triple arthrodesis was planned, using a single medial incision. The indication for surgery was pain that was refractory to shoe wear, orthotic, and brace modifications. The severity of the hindfoot deformity itself was not a sufficient indication for this procedure. All 17 patients were examined a mean of 3.5 years following surgery (1-8 years). Subtalar and talonavicular arthrodesis was achieved in all patients and calcaneocuboid arthrodesis was achieved in 15 of 17 patients (2 asymptomatic pseudoarthrosis). The medial approach to triple arthrodesis is a reliable procedure, and can be used with a predictable outcome in patients who are at risk for wound healing complications for correction of hindfoot valgus deformity.
authors.affiliation: The Institute for Foot and Ankle Reconstruction, Mercy Medical Center, Baltimore, MD 21202, USA.
authors.forename: Clifford L
authors.initials: CL
authors.lastname: Jeng
authors.forename: Anand M
authors.initials: AM
authors.lastname: Vora
authors.forename: Mark S
authors.initials: MS
authors.lastname: Myerson
mesh_terms: D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000601:surgery; D001174:Arthrodesis / Q000379:methods*; D005260:Female; D005530:Foot Deformities / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013380:Subtalar Joint / Q000601:surgery*; D013640:Tarsal Joints / Q000601:surgery; D014945:Wound Healing