Talocalcaneal coalition resection
ABSTRACT: Persistently symptomatic talocalcaneal coalitions (TCCs) may require surgical intervention. Aiming to enhance treatment outcomes, this paper describes the precise clinical and radiographic assessment (including advanced imaging) of a foot with a TCC, the indications for surgery, the detail...
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| Main Authors: | , |
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| Format: | Book |
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Elsevier,
2024-05-01T00:00:00Z.
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| Summary: | ABSTRACT: Persistently symptomatic talocalcaneal coalitions (TCCs) may require surgical intervention. Aiming to enhance treatment outcomes, this paper describes the precise clinical and radiographic assessment (including advanced imaging) of a foot with a TCC, the indications for surgery, the detailed surgical resection technique, and the appropriate postoperative care. Key Concepts: (1) It is important to confirm the precise location(s) of foot and ankle pain in a foot with a TCC. (2) A CT scan in all 3 planes and with 3D reconstruction is needed for comprehensive preoperative planning. Assessment of the foot with a TCC includes determining if other coalitions exist in the foot. (3) Surgical management is based on the health/thickness of the posterior facet and the alignment of the hindfoot. (4) Successful coalition resection is confirmed by visualizing vertical distraction of the posterior facet and an increase in inversion/eversion of the subtalar joint intraoperatively. |
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| Item Description: | 2768-2765 10.1016/j.jposna.2024.100049 |