Catanzariti Alan R, Dix Brian T, Richardson Phillip E, Mendicino Robert W
Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
Clin Podiatr Med Surg. 2014 Jul;31(3):415-33. doi: 10.1016/j.cpm.2014.03.004.
The primary goal of triple arthrodesis for stage III and IV adult acquired flatfoot is to obtain a well-aligned plantigrade foot that will support the ankle in optimal alignment. Ancillary procedures including posterior muscle group lengthening, medial displacement calcaneal osteotomy, medial column stabilization, peroneus brevis tenotomy, or transfer and harvest of regional bone graft are often necessary to achieve adequate realignment. Image intensification is helpful in confirming optimal realignment before fixation. Results of triple arthrodesis are enhanced with adequate preparation of joint surfaces, bone graft/orthobiologics, 2-point fixation of all 3 tritarsal joints, and a vertical heel position.
