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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 5, 612-615.
doi: 10.1302/0301-620X.91B5.21727  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Subtalar and talonavicular arthrodesis through a single medial approach for the correction of severe planovalgus deformity

M. Knupp, MD, Orthopaedic Surgeon1; R. Schuh, MD, Research Fellow1; S. A. S. Stufkens, MD, Research Fellow1; L. Bolliger, MSc, Research Fellow1; and B. Hintermann, MD, Orthopaedic Surgeon1

1 Department of Orthopaedic Surgery, Kantonsspital Liestal, CH-4410, Liestal, Switzerland.

Correspondence should be sent to Dr M. Knupp; e-mail: markus.knupp{at}ksli.ch

We describe a retrospective review of the clinical and radiological parameters of 32 feet in 30 patients (10 men and 20 women) who underwent correction for malalignment of the hindfoot with a modified double arthrodesis through a medial approach. The mean follow-up was 21 months (13 to 37). Fusion was achieved in all feet at a mean of 13 weeks (6 to 30). Apart from the calcaneal pitch angle, all angular measurements improved significantly after surgery. Primary wound healing occurred without complications.

The isolated medial approach to the subtalar and talonavicular joints allows good visualisation which facilitated the reduction and positioning of the joints. It was also associated with fewer problems with wound healing than the standard lateral approach.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General