Surgical treatment of tarsal coalitions in children and adolescents.

interposition graft surgical resection tarsal coalition

Journal

EFORT open reviews
ISSN: 2058-5241
Titre abrégé: EFORT Open Rev
Pays: England
ID NLM: 101695674

Informations de publication

Date de publication:
Feb 2020
Historique:
entrez: 17 3 2020
pubmed: 17 3 2020
medline: 17 3 2020
Statut: epublish

Résumé

A tarsal coalition is an abnormal connection between two or more tarsal bones caused by failure of mesenchymal segmentation.The two most common tarsal coalitions are calcaneonavicular coalition (CNC) and talocalcaneal coalition (TCC). Both CNC and TCC can be associated with significant foot and ankle pain and impaired quality of life; there may also be concomitant foot and ankle deformity.Initial, non-operative management for symptomatic tarsal coalition commonly fails, leaving surgical intervention as the only recourse.The focus of this article is to critically describe the variety of methods used to surgically manage CNC and TCC. In review of the pertinent literature we highlight the ongoing treatment controversies in this field and discuss new innovations.The evidence-based algorithmic approach used by the authors in the management of tarsal coalitions is illustrated alongside some clinical pearls that should help surgeons treating this common, and at times complex, condition. Cite this article:

Identifiants

pubmed: 32175094
doi: 10.1302/2058-5241.5.180106
pii: 10.1302_2058-5241.5.180106
pmc: PMC7047898
doi:

Types de publication

Journal Article

Langues

eng

Pagination

80-89

Informations de copyright

© 2020 The author(s).

Déclaration de conflit d'intérêts

ICMJE Conflict of interest statement: The authors declare no conflict of interest relevant to this work.

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Auteurs

Alpesh Kothari (A)

Department of Paediatric Orthopaedics, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.

Javier Masquijo (J)

Department of Pediatric Orthopaedics, Sanatorio Allende, Córdoba, Argentina.

Classifications MeSH