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KMID : 0896720030070010041
Journal of the Korean Society of Foot Surgery
2003 Volume.7 No. 1 p.41 ~ p.46
Operative Treatment of Tarsal Coalitions
Park Yong-Wook

Jeong Un-Seob
Yun TK
Abstract
Purpose:The purpose of this study was to evaluate the results of surgical treatments for tarsal coalitions.

Material and Methods : A retrospective study was conducted between October 1995 and September 2002. Four cases of talocalcaneal coalitions and two cases of calcaneonavicular coalitions were included. We did bone excision for three cases of talocalcaneal coalitions and two cases of calcaneonavicular coalitions. In one case of talocalcaneal coalition, we did subtalar fusion. Follow-up averaged 43 months. We evaluated both the patients¡¯ satisfaction rates by Mann and Reynolds scorring and compared the radiographic results between preoperative and final radiography.

Results: The satisfaction outcomes at the last follow-up were two excellent and two good in talocalcaneal coalitions and all excellent in calcaneonavicular coalitions. Two cases of talocalcaneal coalition who did excision of coalition complained mild pain in hindfoot, however, symptoms improved than preopertaion. In calcaneonavicular coalition, pain is subsided at mean post-operative 13 weeks. During follow-up period, there were no radiographic changes and recurrence in all cases.

Conclusions:In small cases, we think the cause of subsidence of symptoms maybe reconstruction of normal joint motion after excision of tarsal coalition. But, we try to warm the patients with talocalcaneal coalition that the symptom may not be completely subsided after the excision of coalitions.
KEYWORD
Tarsal coalition, Talocalcaneal and Calcaneonavicular coalition, Excision of coalition and subtalar fusion
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