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Realignment Considerations in the Triple Arthrodesis

^* Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh.

Corresponding author: Robert W. Mendicino, DPM, Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, 4800 Friendship Ave, North Tower, First Floor, Pittsburgh, PA 15224.

Abstract

Triple arthrodesis is indicated for pain, deformity, and instability of the tritarsal complex. Although osseous consolidation is important to outcome, success depends primarily on appropriate realignment. A poorly positioned triple arthrodesis may result in continued pain and disability, gait disturbances, excessive stress in adjacent joints, and footwear problems. We present a protocol for intraoperative realignment of the triple arthrodesis guided by image intensification. This protocol for alignment evaluation was followed in nine patients who underwent triple arthrodesis for a variety of pathologies. (J Am Podiatr Med Assoc 95(1): 13–17, 2005)