Pediatric & Adolescent Flatfoot Reconstruction in Combination with Middle Facet Talocalcaneal Coalition Resection

Neal M. Blitz

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations

Abstract

Surgical reconstruction of symptomatic flatfoot associated with middle facet tarsal coalition is becoming more widely used. This article demonstrates that coalition-concomitant flatfoot is a pathologic entity that is worthy of surgical management. The literature, although limited, has suggested that poor outcomes with isolated simple coalition resection may have been related to the preoperative pes planus that was not addressed. More recently studies have demonstrated improved clinical and radiographic postoperative outcomes when the flatfoot correction is combined with the coalition resection. This article reviews a surgical treatment algorithm that considers the presence of varying degrees of pes planus and rearfoot arthrosis associated with coalition.

Original languageEnglish
Pages (from-to)119-133
Number of pages15
JournalClinics in Podiatric Medicine and Surgery
Volume27
Issue number1
DOIs
StatePublished - Jan 2010
Externally publishedYes

Keywords

  • Coalition-concomitant flatfoot
  • Flatfoot reconstruction
  • Middle facet talocalcaneal coalition
  • Pes planus
  • Tarsal coalition

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