title: Fibrin glue as interposition graft for tarsal coalition.
abstract: We describe a surgical technique and report outcomes for fibrin glue interposition after resection of a tarsal condition.   An institutional review board--approved retrospective review of all pediatric patients with a tarsal coalition managed with resection was conducted between January 2002 and July 2010 by a single surgeon. All coalitions were resected with interposition of fibrin glue. Patients were evaluated for postoperative complications, pain, weight-bearing status, return to sports, and ankle and subtalar range of motion. Six feet without a coalition were used as a control group.  Nine patients (12 feet) were identified with mean follow-up of 2.1 years (range, 7-72 months). Pre-operative complaints were predominantly foot and ankle pain. Patients also reported flatfeet and recurrent ankle sprains. There were no reported postoperative complications. All 9 patients were weight-bearing as tolerated and returned to sports by 6 months.   Fibrin glue is a safe and reliable alternative to tissue grafts for interposition after resection of a tarsal coalition.
authors: Broward Orthopedic Specialists, Fort Lauderdale, FL 33334, USA. justinweatherallmd@gmail.com
authors: Justin M
authors: JM
authors: Weatherall
authors: Andrew E
authors: AE
authors: Price
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D015718:Fibrin Tissue Adhesive; D005532:Foot Deformities, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D019736:Prostheses and Implants; D012189:Retrospective Studies; D013639:Tarsal Bones / Q000002:abnormalities / Q000601:surgery*; D055815:Young Adult
chemical_list: D015718:Fibrin Tissue Adhesive