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Triple arthrodesis is a surgical procedure whose purpose is to relieve pain in the rear part of the foot, improve stability of the foot, and in some cases correct deformity of the foot, by fusing of the three main joints of the hindfoot: the subtalar joint, calcaneocuboid joint and the talonavicular joint.
The intertarsal joint are the joints of the tarsal bones in the foot. There are six specific inter tarsal joints (articulations) in the human foot: Subtalar joint; Talocalcaneonavicular joint; Calcaneocuboid joint; Cuneonavicular joint; Cuboideonavicular joint; Intercuneiform joints
The dorsal talonavicular ligament extends from the dorsal aspect of the foot from the neck of the talus to the navicular. [ 1 ] [ 2 ] The socket of this joint is formed by the concave articular facets of the navicular, calcaneus, calcaneonavicular part of bifurcate ligament and the spring ligament (plantar calcaneonavicular ligament), where the ...
Treatment comprises early reduction of the dislocation, and frequently involves open reduction internal fixation to restore and stabilise the talonavicular joint. Open reduction and fusion of the calcaneocuboid joint is occasionally required. [3]
The transverse tarsal joint or midtarsal joint or Chopart's joint is formed by the articulation of the calcaneus with the cuboid (the calcaneocuboid joint), and the articulation of the talus with the navicular (the talocalcaneonavicular joint).
The rate of reoperation was 22%, with screw removal done in 11.4%, nail removal done in 4.2%, revision fusion done in 3.4%, and amputation in 1.5%. [11] The review concluded that there is a good fusion rate with TTC arthrodesis using an IM nail but that the surgery has a high rate of complications. [ 11 ]
The dorsal talonavicular ligament is a broad, thin band, which connects the neck of the talus to the dorsal surface of the navicular bone; it is covered by the Extensor tendons. The plantar calcaneonavicular supplies the place of a plantar ligament for this joint.
Rheumatoid arthritis can destroy tendons in the foot (or both feet), which can cause this condition, and untreated can result in deformity and early onset of osteoarthritis of the joint. Such a condition can cause severe pain and considerably reduced ability to walk, even with orthoses. Ankle fusion is usually recommended. [17]