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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 calcaneocuboid joint is conventionally described as among the least mobile joints in the human foot.The articular surfaces of the two bones are relatively flat with some irregular undulations, which seem to suggest movement limited to a single rotation and some translation.
The foot is usually dislocated medially (80%) and superiorly, which occurs when the foot is plantar flexed and inverted. Lateral displacement occurs during eversion injuries. Associated fractures of calcaneus, cuboid and navicular are frequent. Open fractures occur in a small percentage.
If the bones are not properly aligned surgery is generally required. [1] Returning the bones to their normal position results in better outcomes. [2] Surgery may be delayed a few days as long as the skin remained intact. [1] About 2% of all fractures are calcaneal fractures. [2] However, they make up 60% of fractures of the mid foot bones. [2]
The Ponseti method is a manipulative technique that corrects congenital clubfoot without invasive surgery. It was developed by Ignacio V. Ponseti of the University of Iowa Hospitals and Clinics, US, in the 1950s, and was repopularized in 2000 by John Herzenberg in the US and Europe and in Africa by NHS surgeon Steve Mannion.
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 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).
Generally, the surgical procedure involves making an anterolateral incision, stripping the ligaments from both malleoli and the calcaneus so that the foot can be displaced posteriorly. The talus is then resected, and the foot is placed so that the lateral malleolus rests opposite the calcaneocuboid joint , and the medial malleolus lies just ...