JBJS | Arthrodesis Techniques in the Management of Stage-II and III Acquired Adult Flatfoot Deformity

The Journal of Bone & Joint Surgery, Volume 87, Issue 8

Selected Instructional Course Lectures | August 01, 2005

Arthrodesis Techniques in the Management of Stage-II and III Acquired Adult Flatfoot Deformity

Jeffrey E. Johnson, MD¹; James R. Yu, MD¹

¹ Department of Orthopaedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Box 8233, St. Louis, MO 63110. E-mail address for J.E. Johnson: foot@msnotes.wustl.edu

The Journal of Bone & Joint Surgery. 2005; 87:1865-1876

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Extract

Arthrodesis is indicated for the management of an acquired adult flatfoot disorder with a fixed deformity or degenerative joint disease. In general, limited fusions of the hindfoot and midfoot preserve more motion than do extensive fusion procedures such as triple arthrodesis. However, full correction of the deformity is important for a durable outcome, and this may require a more extensive fusion procedure or the inclusion of adjunctive procedures.Triple arthrodesis provides the most reliable and predictable correction of a fixed deformity. Careful preoperative and intraoperative physical examination and radiographic evaluation are critical to developing an operative plan that will address all of the components of this complex deformity and to minimizing the chance of its recurrence.

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Topics

flatfoot ; arthrodesis ; triple arthrodesis of hindfoot ; forefoot ; hindfoot ; foot ; talonavicular joint ; subtalar joint ; ankle ; calcaneus

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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