Triple arthrodesis: tips and tricks to navigate trouble

Nathan J Kiewiet; Stephen K Benirschke; Michael E Brage

doi:10.1016/j.fcl.2014.06.008

Triple arthrodesis: tips and tricks to navigate trouble

Foot Ankle Clin. 2014 Sep;19(3):483-97. doi: 10.1016/j.fcl.2014.06.008. Epub 2014 Jul 2.

Authors

Nathan J Kiewiet¹, Stephen K Benirschke², Michael E Brage³

Affiliations

¹ Drisko, Fee & Parkins Orthopaedics, PC, 19550 East 39th Street, Suite 410, Independence, MO 64057, USA.
² Department of Orthopaedics, University of Washington, 325 9th Avenue, Box 359798, Seattle, WA 98104, USA.
³ Department of Orthopaedics, University of Washington, 325 9th Avenue, Box 359798, Seattle, WA 98104, USA. Electronic address: bragem@uw.edu.

PMID: 25129357
DOI: 10.1016/j.fcl.2014.06.008

Abstract

Triple arthrodesis is a powerful corrector of hindfoot deformity related to trauma, rheumatoid arthritis, and long-standing peritalar subluxation with posterior tibial tendon dysfunction. To avoid the common postoperative complications related to triple arthrodesis, one must be meticulous in preoperative evaluation as well as surgical technique. Presented are some tips and tricks to avoid the common complications and provide the patient with a plantigrade, stable foot, as well as some salvage options for triple arthrodesis in a malunited position.

Keywords: Calcaneocuboid arthrodesis; Subtalar arthrodesis; Talonavicular arthrodesis; Triple arthrodesis.

Publication types

Review

MeSH terms

Arthrodesis / methods*
Foot Deformities / surgery*
Humans