A triple arthrodesis consists of the surgical fusion of the talocalcaneal (TC), talonavicular (TN), and calcaneocuboid (CC) joints in the foot. The primary goals of a triple arthrodesis are to relieve pain from arthritic, deformed, or unstable joints. Other important goals are the correction of deformity and creation of a...

Describes variety of triple arthrodesis type of operation in the paediatric foot.
Grice-Green
Dennyson and Fulford Modification
Lambrinudi
Dunn Arthrodesis

Triple arthrodesis is considered as a late salvage-stabilising procedure that relieves pain but sacrifices joint motion. If the subtalar or midtarsal joints are arthritic and painful, a triple arthrodesis will allow correction and pain control. The trend for triple fusion in the younger HMSN has fallen out of favour of late.

Injuries involving the midtarsal joint, which are frequently misdiagnosed, have been studied to clarify the mechanism, classification and treatment. The necessity for routine antero-posterior, lateral and oblique radiographs is emphasised. Seventy-one injuries have been classified according to the direction of the deforming force : medial,longitudinalcompression,lateral, plantar and crush types are described. Included in...

Principles
Wedge resection of talus to correct fixed equinus deformity
60% had residual deformity
23% Pseudarthrosis
25% Significant pain
38% Degenerative changes in ankle
May need elongation of tendo Achilles & soft tissue release before able to obtain correction.
This may decrease resection required & incidence of AVN of talus.

Notes on subtalar fusion (STF), Triple Arthrodesis, Talo-Navicular joint fusion (TNJ), Calcaneo Cuboid Joint fusion (CCJ), Medial cuneiform plantar flexion osteotomy, Tendo Achilles Lengthening

Ankle Joint Menu - Wheeless' Textbook of Orthopaedics Duke Orthopaedics presents Wheeless' Textbook of Orthopaedics Site Index A - Z Search Site by Word Home Contact Us My Account Ankle Joint Menu Foot Menu: Ankle Fractures Radiographs Ankle Equinus Deformity Achilles Tendinitis Anatomy: Ankle Joint Ankle Arthrodesis Ankle Arthroscopy...

Wheeless' Textbook of Orthopaedics

The neglected clubfoot deformity is a major disabler of children and adults in developing nations. The bones and joints of the foot deform into fixed equinus, adductus, cavus, and supination as patients walk on the side or dorsum of the foot. There is severe obliquity of the calcaneocuboid joint,...

December 5-6 2011. This 3 day course aims to provide delegates with a core understanding of the management of common foot and ankle problems.  Target audience:  Levels 2-6 Orthopaedic trainees and newly appointed orthopaedic foot and ankle consultants.  There will be hands-on workstations to allow participants to perform forefoot surgery...