Hindfoot double arthrodesis in adults using cannulated screws : how we do it?
Galhoum, Ahmed Alrashidi, Yousef Herrera-Pérez, Mario Wiewiorski, Martin Miller, Margaux B. Barg, Alexej TRIVEDI, VINEET Valderrabano, Victor
Galhoum, Ahmed
Alrashidi, Yousef
Herrera-Pérez, Mario
Wiewiorski, Martin
Miller, Margaux B.
Barg, Alexej
TRIVEDI, VINEET
Valderrabano, Victor
Affiliation
George Eliot Hospital NHS Trust, Nuneaton; Taibah University, Almadinah Almunawwarah, Saudi Arabia; University Hospital of Canary Islands, La Laguna, Tenerife, Spain; Kantonsspital Winterthur, Switzerland; Swiss Ortho Center, Basel, Switzerland; University of Utah, USA;
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Publication date
2022-06
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Abstract
Hindfoot arthrodesis is a common orthopedic surgical procedure indicated for reconstructive surgery in patients with advanced osteoarthritis, rheumatoid arthritis, posterior tibial tendon insufficiency (stages III and IV), severe cases of tarsal coalition, advanced stages of cavovarus foot (eg, Charcot-Marie-tooth disease), or type 2 Brodsky Charcot hindfoot arthropathy. Triple arthrodesis utilizing solid (noncannulated) screws is a technically demanding procedure because accurate placement of these screws is complex. Cannulated screws have become popular because of their easier insertion than solid screws and because of a lower chance of loss of reduction during insertion. The traditional triple hindfoot arthrodesis is performed using 2 separate incisions and also by the single medial approach with cannulated screws. Both procedures are described and illustrated in detail in this paper. We recommend inserting screws starting with the joint that has the greatest preoperative deformity and address soft tissue contractures if needed earlier during surgery. Appropriate placement of screws is very important for stable reconstruction and good postoperative outcomes.
Citation
Galhoum AE, Alrashidi Y, Herrera-Pérez M, Wiewiorski M, Miller MB, Barg A, Trivedi V, Valderrabano V. Hindfoot double arthrodesis in adults using cannulated screws: how we do it? Tech Foot Ankle Surg. 2022;21(2):63–69. doi: 10.1097/BTF.0000000000000299.
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Article