The cases of fourteen patients who had twenty-three symptomatic
talocalcaneal coalitions were reviewed at a mean of 3.9 years (range, 2.2
to 9.5 years) after treatment. Five feet in three patients became
completely asymptomatic after immobilization in a cast, and four feet
underwent triple arthrodesis. Fourteen feet had resection of the coalition
when the symptoms were not relieved by immobilization in a cast. The
indications for resection of a talocalcaneal coalition include failure of
non-operative treatment, a coalition that is less than one-half of the
surface area of the talocalcaneal joint, and the absence of degenerative
arthritic changes in the talonavicular joint. Good results were noted in
thirteen feet and satisfactory results, in ten, for all forms of
treatment.