Talocalcaneal coalition resection.

UNLABELLED

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.