Clifford L Jeng1, Cedric J Tankson, Mark S Myerson. 1. Mercy Medical Center, Institute for Foot and Ankle Reconstruction, 301 St. Paul Place, Baltimore, MD 21202, USA. cjeng@mdmercy.com
Abstract
BACKGROUND: Triple arthrodesis is traditionally done through a two-incision approach. In certain high-risk patients, it may be desirable to do the procedure through a single medial incision to avoid lateral wound healing problems. METHOD: A cadaver study was undertaken to determine the percentage of surface area of each hindfoot joint that could be prepared through a single medial incision. Five cadaver legs were assigned to the single-incision group, and one cadaver leg was used as the "standard" two-incision specimen. RESULTS: Through the single-incision approach, 91% of the talonavicular joint, 91% of the subtalar joint, and 90% of the calcaneocuboid joint could be prepared. These results were comparable to the two-incision cadaver specimen results. CONCLUSIONS: A single-incision medial approach for triple arthrodesis is a safe and effective technique in the management of hindfoot deformity and arthritis in certain high-risk patients.
BACKGROUND:Triple arthrodesis is traditionally done through a two-incision approach. In certain high-risk patients, it may be desirable to do the procedure through a single medial incision to avoid lateral wound healing problems. METHOD: A cadaver study was undertaken to determine the percentage of surface area of each hindfoot joint that could be prepared through a single medial incision. Five cadaver legs were assigned to the single-incision group, and one cadaver leg was used as the "standard" two-incision specimen. RESULTS: Through the single-incision approach, 91% of the talonavicular joint, 91% of the subtalar joint, and 90% of the calcaneocuboid joint could be prepared. These results were comparable to the two-incision cadaver specimen results. CONCLUSIONS: A single-incision medial approach for triple arthrodesis is a safe and effective technique in the management of hindfoot deformity and arthritis in certain high-risk patients.
Authors: Amr A Fadle; Wael El-Adly; Ahmed Khalil Attia; Mo'men M Mohamed; Aly Mohamadean; Ahmed E Osman Journal: Int Orthop Date: 2021-04-25 Impact factor: 3.075