Sage Journals: Discover world-class research

Abstract

Background:

Arthroscopic resection of the talocalcaneal coalition (TCC) has been reported to be associated with good short-term outcomes. However, the midterm outcomes of this approach remain uncertain.

Methods:

We performed a retrospective study of patients who underwent arthroscopic resection for symptomatic TCC. The patients were divided into 2 groups (group P, patients with isolated posterior facet coalition; and group MP, patients with both middle and posterior facet coalition). The preoperative and postoperative visual analog scale (VAS) scores for pain and American Orthopaedic Foot & Ankle Society (AOFAS) scale scores were calculated. The postoperative AOFAS and VAS scores between the 2 groups were analyzed. Patient satisfaction was also assessed.

Results:

Thirty-two patients were included in this study. The mean age at the time of surgery was 26.0±8.5 years, and the mean follow-up period was 56.9±18.0 months. Thirteen (41%) patients were in group P, whereas 19 (59%) patients were in group MP. Postoperative VAS and AOFAS scores improved more significantly than preoperative scores. At the final follow-up, excellent and good subjective outcomes were attained in 26 patients (81%), fair and poor outcomes in 6 patients (19%). There were no statistical differences in the postoperative AOFAS (91.0±7.0 vs 85.8±10.8, P = .532) and VAS score (2.1±1.7 vs 4.0±2.6, P = .537) between patients with the ratio of coalition/posterior facet more than or less than 50%. There were no statistical differences in postoperative VAS score (1.8±1.3 vs 2.6±2.2, P = .236) and AOFAS score (92.5±5.6 vs 89.2±8.7, P = .297) between group P (n=13) and group MP (n=19), either. Three patients (9.4%) had complications, including these notable findings: 1 patient complained of restricted dorsal flexion, 1 with computed tomography–proven coalition recurrence, and 1 with partial tibial nerve injury.

Conclusion:

We found that TCC arthroscopic resection was generally associated with reasonable outcomes at midterm follow-up.

Level of Evidence:

Level IV, case series.

Keywords

Talocalcaneal coalition arthroscopic resection Outcome

Get full access to this article

View all access options for this article.

References

Aldahshan

Hamed

Elsherief

Abdelaziz

. Endoscopic resection of different types of talocalcaneal coalition. Foot Ankle Int. 2018;39(9):1082-1088. doi: 10.1177/1071100718770625

Bonasia

Phisitkul

Amendola

. Endoscopic coalition resection. Foot Ankle Clin. 2015;20(1):81-91. doi: 10.1016/j.fcl.2014.10.006

Bonasia

Phisitkul

Saltzman

Barg

Amendola

. Arthroscopic resection of talocalcaneal coalitions. Arthroscopy. 2011;27(3):430-435. doi: 10.1016/j.arthro.2010.10.018

de Wouters

Tran Duy

Docquier

. Patient-specific instruments for surgical resection of painful tarsal coalition in adolescents. Orthop Traumatol Surg Res. 2014;100(4):423-427. doi: 10.1016/j.otsr.2014.02.009

Docquier

Maldaque

Bouchard

. Tarsal coalition in paediatric patients. Orthop Traumatol Surg Res. 2019;105(1S):S123-S131. doi: 10.1016/j.otsr.2018.01.019

Field

. Resection of middle facet coalition with arthroscopic guidance. J Foot Ankle Surg. 2009;48(2):273-276. doi: 10.1053/j.jfas.2008.11.009

Gantsoudes

Roocroft

Mubarak

. Treatment of talocalcaneal coalitions. J Pediatr Orthop. 2012;32(3):301-307. doi: 10.1097/BPO.0b013e318247c76e

Hayashi

Kumai

Tanaka

. Endoscopic resection of a talocalcaneal coalition using a posteromedial approach. Arthrosc Tech. 2014;3(1):e39-e43. doi: 10.1016/j.eats.2013.08.005

Jagodzinski

Hughes

Davis

Butler

Winson

Parsons

. Arthroscopic resection of talocalcaneal coalitions—a bicentre case series of a new technique. Foot Ankle Surg. 2013;19(2):125-130. doi: 10.1016/j.fas.2013.03.001

10.

Khoshbin

Law

Caspi

Wright

. Long-term functional outcomes of resected tarsal coalitions. Foot Ankle Int. 2013;34(10):1370-1375. doi: 10.1177/1071100713489122

11.

Knorr

Soldado

Menendez

Domenech

Sanchez

Sales

Gauzy

. Arthroscopic talocalcaneal coalition resection in children. Arthroscopy. 2015;31(12):2417-2423. doi: 10.1016/j.arthro.2015.06.022

12.

Kulik

Jr Clanton

. Tarsal coalition. Foot Ankle Int 1996;17(5):286-296. doi: 10.1177/107110079601700509

13.

Leonard

. The inheritance of tarsal coalition and its relationship to spastic flat foot. J Bone Joint Surg Br. 1974;56(3):520-526.

14.

Mahan

Spencer

Vezeridis

Kasser

. Patient-reported outcomes of tarsal coalitions treated with surgical excision. J Pediatr Orthop. 2015;35(6):583-588. doi: 10.1097/BPO.0000000000000334

15.

Nakazora

Nishimura

Ito

Kato

Sudo

. Endoscopic resection for talocalcaneal coalition using posteromedial approach: report of three cases. Foot Ankle Orthop. 2016;1(1):2473011416S00064. doi: 10.1177/2473011416S00064

16.

O’Neill

Micheli

. Tarsal coalition. A followup of adolescent athletes. Am J Sports Med. 1989;17(4):544-549. doi: 10.1177/036354658901700416

17.

Saraiva

Knupp

Rodrigues

Gomes

Oliva

. Outcomes of posterior arthroscopic subtalar arthrodesis for medial facet talocalcaneal coalition. Foot Ankle Int. 2021;42(12):1547-1553. doi: 10.1177/10711007211027289

18.

Takakura

Sugimoto

Tanaka

Tamai

. Symptomatic talocalcaneal coalition - its clinical-significance and treatment. Clin Orthop Relat Res. 1991;269:249-256.

19.

Wang

Shi

Gao

, et al. A new classification of talocalcaneal coalitions based on computed tomography for operative planning. BMC Musculoskelet Disord. 2021;22(1):678. doi: 10.1186/s12891-021-04567-0

20.

Yildiz

Misir

Kizkapan

Keskin

Akbulut

. Functional and radiological outcomes after tarsal coalition resections: a minimum 5-year follow-up. J Foot Ankle Surg. 2019;58(6):1223-1228. doi: 10.1053/j.jfas.2018.12.040

21.

Yun

Jin

Kim

, et al. A different type of talocalcaneal coalition with os sustentaculum: the continued necessity of revision of classification. AJR Am J Roentgenol. 2015;205(6):W612-W618. doi: 10.2214/AJR.14.14082

22.

Zhou

Tang

Hardy

. Talocalcaneal coalition combined with flatfoot in children: diagnosis and treatment: a review. J Orthop Surg Res. 2014;9:129. doi: 10.1186/s13018-014-0129-9

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

1.15 MB