title: Double arthrodesis through a medial approach for end-stage adult-acquired flatfoot.
abstract: Triple arthrodesis has traditionally been the procedure of choice for end-stage adult-acquired flatfoot. The results have been universally good, and it has proven to be dependable and predictable. Nonetheless, complications have been reported following triple arthrodesis in certain patients. Selective arthrodesis of the talonavicular joint and subtalar joint through a single medial approach has been developed as an alternative. The authors especially prefer this procedure with severe transverse plane deformity and often choose this approach as an alternative to triple arthrodesis in high-risk patients, including those patients with diabetes mellitus, rheumatoid arthritis, long-term steroid use, and the elderly.
authors: Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, N1, 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, N1, Pittsburgh, PA 15224, USA.
authors: Adebola T
authors: AT
authors: Adeleke
mesh_terms: D000328:Adult; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods*; D016025:Bone Transplantation; D005413:Flatfoot / Q000145:classification / Q000601:surgery*; D005529:Foot Bones / Q000000981:diagnostic imaging / Q000601:surgery; D033023:Foot Joints / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010027:Osteotomy; D011859:Radiography; D013709:Tendon Transfer
keywords: Double arthrodesis; End-stage adult-acquired flatfoot; Medial approach