Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patients

J Orthop Surg Res. 2022 Oct 17;17(1):458. doi: 10.1186/s13018-022-03350-8.

Abstract

Background: Resection of tarsal coalitions provides good patient satisfaction scores, reduced pain, and improved long-term function in both athletic and non-athletic populations. This study aimed to determine when athletic patients undergoing resection of a tarsal coalition were able to return to their desired activity, and whether they experienced a decreased desired activity level (DDA).

Methods: Data on a total of 78 patients who underwent 97 tarsal coalition resections (49 talocalcaneal coalitions, 47 calcaneo-navicular, 14 cuboid-navicular, and three cuneo-navicular; some patients had more than one coalition) operated between January 2001 and June 2020 were prospectively collected. To subjectively assess outcomes, the Roles and Maudsley score (RM) was utilized.

Results: At an average follow-up from the index procedure of 33.6 ± 41.5 months, return to activity for the entire cohort was 18.3 ± 9.6 weeks. Post-RM was 1.3 ± 0.6.

Conclusion: Surgical excision of tarsal coalitions produced favorable results, with most patients able to return to their desired activity level.

Level of evidence: IV.

Keywords: Calcaneus; Navicular; Pediatric; Resection; Talus; Tarsal coalition.

MeSH terms

  • Cohort Studies
  • Humans
  • Pain
  • Retrospective Studies
  • Tarsal Bones* / surgery
  • Tarsal Coalition* / diagnostic imaging
  • Tarsal Coalition* / surgery