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Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patients.

Authors
  • Saxena, Amol1
  • Allen, Ryan2
  • Wright, Anthony3
  • Migliorini, Filippo4, 5
  • Maffulli, Nicola6, 7, 8
  • 1 Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA, USA.
  • 2 Seal Beach Podiatry Group, Alamitos, CA, USA.
  • 3 Western University, Pomona, CA, USA.
  • 4 Department of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH Aachen University Hospital, Pauwelsstr. 30, 52074, Aachen, Germany. [email protected]. , (Germany)
  • 5 Department of Orthopaedic and Trauma Surgery, Eifelklinik St. Brigida, 52152 Simmerath, Germany. [email protected]. , (Germany)
  • 6 Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno, Italy. , (Italy)
  • 7 Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, 275 Bancroft Road, London, E1 4DG, England.
  • 8 School of Pharmacy and Bioengineering, Keele University School of Medicine, Thornburrow Drive, Stoke on Trent, England.
Type
Published Article
Journal
Journal of Orthopaedic Surgery and Research
Publisher
Springer (Biomed Central Ltd.)
Publication Date
Oct 17, 2022
Volume
17
Issue
1
Pages
458–458
Identifiers
DOI: 10.1186/s13018-022-03350-8
PMID: 36253856
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Resection of tarsal coalitions provides good patient satisfaction scores, reduced pain, and improved long-term function in both athletic and non-athletic populations. This study aimed to determine when athletic patients undergoing resection of a tarsal coalition were able to return to their desired activity, and whether they experienced a decreased desired activity level (DDA). Data on a total of 78 patients who underwent 97 tarsal coalition resections (49 talocalcaneal coalitions, 47 calcaneo-navicular, 14 cuboid-navicular, and three cuneo-navicular; some patients had more than one coalition) operated between January 2001 and June 2020 were prospectively collected. To subjectively assess outcomes, the Roles and Maudsley score (RM) was utilized. At an average follow-up from the index procedure of 33.6 ± 41.5 months, return to activity for the entire cohort was 18.3 ± 9.6 weeks. Post-RM was 1.3 ± 0.6. Surgical excision of tarsal coalitions produced favorable results, with most patients able to return to their desired activity level. IV. © 2022. The Author(s).

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