title: Combined medial displacement calcaneal osteotomy, subtalar joint arthrodesis, and ankle arthrodiastasis for end-stage posterior tibial tendon dysfunction.
abstract: Combining an ankle arthrodiastasis with a medial displacement calcaneal osteotomy and a subtalar joint arthrodesis offers surgeons a joint-sparing procedure for young and active patients who have end-stage posterior tibial tendon dysfunction and ankle joint involvement. An isolated subtalar joint arthrodesis or triple arthrodesis combined with an ankle arthrodiastasis is an option that can be used in certain case scenarios. Delaying the need for a joint destructive procedure through an ankle arthrodiastasis, however, may have a great impact in the near future, as advancements are underway to improve the use of ankle endoprosthesis.
authors.affiliation: VSAS Orthopaedics, Allentown, PA, USA.
authors.forename: John J
authors.initials: JJ
authors.lastname: Stapleton
authors.forename: Ronald
authors.initials: R
authors.lastname: Belczyk
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
authors.forename: Vasilios D
authors.initials: VD
authors.lastname: Polyzois
mesh_terms: D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods*; D001858:Bone Nails; D001860:Bone Plates; D002111:Calcaneus / Q000601:surgery; D003131:Combined Modality Therapy; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019857:Osteogenesis, Distraction / Q000295:instrumentation / Q000379:methods*; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D010147:Pain Measurement; D037081:Posterior Tibial Tendon Dysfunction / Q000175:diagnosis / Q000601:surgery*; D011859:Radiography; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D013380:Subtalar Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D013709:Tendon Transfer / Q000379:methods; D016896:Treatment Outcome