title: Triple arthrodesis for adult acquired flatfoot.
abstract: The primary goal of triple arthrodesis for stage III and IV adult acquired flatfoot is to obtain a well-aligned plantigrade foot that will support the ankle in optimal alignment. Ancillary procedures including posterior muscle group lengthening, medial displacement calcaneal osteotomy, medial column stabilization, peroneus brevis tenotomy, or transfer and harvest of regional bone graft are often necessary to achieve adequate realignment. Image intensification is helpful in confirming optimal realignment before fixation. Results of triple arthrodesis are enhanced with adequate preparation of joint surfaces, bone graft/orthobiologics, 2-point fixation of all 3 tritarsal joints, and a vertical heel position.
authors: Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA. Electronic address: acatanzariti@faiwp.com.
authors: Alan R
authors: AR
authors: Catanzariti
authors: Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
authors: Brian T
authors: BT
authors: Dix
authors: Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
authors: Phillip E
authors: PE
authors: Richardson
authors: OhioHealth Orthopedic Surgeons, Hilliard, OH, USA; Foot & Ankle Surgical Residency, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
authors: Robert W
authors: RW
authors: Mendicino
mesh_terms: D000328:Adult; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods*; D001863:Bone Screws; D018786:Bone Substitutes / Q000627:therapeutic use; D016025:Bone Transplantation; D005413:Flatfoot / Q000000981:diagnostic imaging / Q000601:surgery*; D005471:Fluoroscopy; D005529:Foot Bones / Q000000981:diagnostic imaging / Q000601:surgery; D033023:Foot Joints / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000601:surgery; D011182:Postoperative Care; D013709:Tendon Transfer
chemical_list: D018786:Bone Substitutes
keywords: Adult acquired flatfoot; Bone graft; Image intensification; Triple arthrodesis