Triple arthrodesis of the foot with allograft through a lateral incision in planovalgus deformity.
BACKGROUND
Triple arthrodesis may be performed using various surgical approaches, most typically through two incisions and without structural bone graft. We have found that a single lateral incision allows adequate surgical exposure and structural bone graft facilitates lateral column reconstruction.


METHODS
A consecutive series of 30 triple arthrodeses with additive bone graft using a single lateral incision. Outcome measures were SF12 score, Manchester-Oxford Foot Questionnaire index score, visual analogue pain score and satisfaction scores, and radiographic assessment at 3, 6 and 12 months post-operatively.


RESULTS
Statistically significant improvements were seen in all measured outcomes, except the SF12 mental component score. The union rate was 100% with no loss of correction at 12 months. Twenty-nine out of 30 patients were satisfied.


CONCLUSIONS
In this series, triple arthrodesis using structural allograft through a single lateral incision was safe and effective, with restoration and maintenance of surgical deformity correction and foot length.
Department of Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK. Electronic address: nick.ohly@gjnh.scot.nhs.uk.
Nicholas E
NE
Ohly
Department of Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK. Electronic address: jonathan_cowie@hotmail.com.
Jonathan G
JG
Cowie
Department of Orthopaedic Surgery, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK. Electronic address: steffen.breusch@gmail.com.
Steffen J
SJ
Breusch
D000293:Adolescent; D000328:Adult; D000368:Aged; D001174:Arthrodesis / Q000379:methods*; D016025:Bone Transplantation; D015331:Cohort Studies; D005260:Female; D005531:Foot Deformities, Acquired / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D020127:Recovery of Function; D016896:Treatment Outcome; D016474:Weight-Bearing; D055815:Young Adult
Allograft; Flatfoot; Foot; Fusion; Hindfoot; Lateral approach; Operative treatment; Planovalgus deformity; Triple arthrodesis