title: Treatment of talocalcaneal coalitions.
abstract: BACKGROUND
  The purpose of this study was to review outcomes of patients treated for symptomatic talocalcaneal coalition with resection and interposition of fat graft.
  
  
  METHODS
  A retrospective review was performed on all patients who underwent surgical treatment for symptomatic talocalcaneal coalition over a 13-year period. Ninety-three feet were treated with excision and fat graft interposition by 6 surgeons. All patients underwent a chart review. Patient's outcome was assessed at the last follow-up using the American Orthopaedic Foot and Ankle Society Hindfoot scale. Postoperative computed tomography scans were available for 20 feet.
  
  
  RESULTS
  Forty-nine feet had follow-up of at least 12 months and had a score obtained through the American Orthopaedic Foot and Ankle Society Hindfoot scale. At an average of 42.6 months of follow-up, the average score obtained was 90/100 (excellent). The postoperative computed tomography scans demonstrated 1 recurrence (3%), which was treated with repeat excision. An additional patient was reoperated for failure to excise the coalition completely. Eleven patients (34%) underwent a subsequent surgery to correct the alignment of the foot. To the best of our knowledge, none of the patients excluded because of short follow-up had repeat surgery or recurrence.
  
  
  CONCLUSIONS
  A symptomatic talocalcaneal coalition can be treated with excision and fat graft interposition, and achieve good to excellent results in 85% of patients. Patients should be counseled that a subset may require further surgery to correct malalignment.
  
  
  METHODS
  Level IV-case series.
authors.affiliation: Department of Orthopedics, Riley Children's Hospital, Indiana University, Indianapolis, IN, USA.
authors.forename: George D
authors.initials: GD
authors.lastname: Gantsoudes
authors.forename: Joanna H
authors.initials: JH
authors.lastname: Roocroft
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Mubarak
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000293:Adolescent; D002111:Calcaneus / Q000002:abnormalities / Q000601:surgery*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods*; D012086:Reoperation; D012189:Retrospective Studies; D013380:Subtalar Joint / Q000601:surgery; D013628:Talus / Q000002:abnormalities / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome