Double-Hindfoot Arthrodesis Through a Single Medial Approach

Abstract

Triple arthrodesis has stood the test of time as a procedure that can restore a painful and/or deformed hindfoot into a stable and pain-free foot. Since the first triple-arthrodesis procedures have been described, little at the operative technique has changed. Recent studies suggest that some significant alterations in the technique may lead to equally good results. The technique we present in this article is a double arthrodesis (limiting a triple arthrodesis to the talonavicular and the talocalcaneal joint) using a single medial surgical approach, thus leaving the calcaneocuboid joint free whenever possible. When performed meticulously, we consider our technique as a valuable and safe alternative to the more classic "lateral" and "3-joint-fusion" way of thinking. Future studies are needed to support the short-term excellent results with this new approach.