Revisional hindfoot arthrodesis

Where Small Incision Fusions of the Foot Work Wonders

This article will discuss the risk and benefits of percutaneous arthrodesis of various joints in the foot. This will focus on the surgical indications, the approach, as well as tips and pearls to enhance the outcomes of the procedures. Lastly, it will discuss post-surgical protocol and the postoperative complications that are particular to the percutaneous approach.

Surgical Management of Calcaneal Malunion

Calcaneal malunion is a common complication after conservative treatment or incorrect surgical treatment of calcaneal fracture. The typical pathoanatomies of calcaneal malunion are subtalar joint incongruity, loss of calcaneal height, arch collapse, varus or valgus deformity of the calcaneus, heel widening and so on. Calcaneal malunion often needs to be treated surgically. The classification of calcaneal malunion and the detailed clinical and radiographical assessment play important roles for surgical option. The main surgical methods include in situ subtalar arthrodesis, reconstruction of calcaneal thalamus and subtalar arthrodesis, calcaneal osteotomy with subtalar arthrodesis, corrective calcaneal osteotomy without subtalar arthrodesis. Each option has its different indications, advantages and disadvantages. Thus, the surgical treatment should be individualised.