Hindfoot Arthrodesis
A 45-year-old man with longstanding rheumatoid arthritis presents with painful rigid hindfoot valgus deformity that has failed extensive conservative management. Clinical examination reveals fixed hindfoot valgus of 15 degrees with no subtalar motion, ankle range of motion is preserved. Radiographs confirm end-stage arthritis of the subtalar, talonavicular, and calcaneocuboid joints with no tibiotalar arthritis. Regarding triple arthrodesis:
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Triple arthrodesis involves fusion of the subtalar (talocalcaneal), talonavicular, and calcaneocuboi...
The ideal position for fusion is 5 degrees of hindfoot valgus, neutral dorsiflexion/plantarflexion, ...
Triple arthrodesis has no effect on adjacent joints and does not accelerate ankle arthritis; nonunio...
Surgical technique involves joint preparation through cartilage removal preserving subchondral bone ...
For this patient with rigid inflammatory hindfoot valgus, triple arthrodesis is appropriate; goals i...
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