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Dr Chirag Patel
Department of
Orthopaedics
St Stephen’s Hospital
Introduction
The most effective stabilizing
procedure in the foot is triple
arthrodesis ,fusion of the subtalar,
calcaneocuboid, and talonavicular
joints.
Triple arthrodesis limits motion of the
foot and ankle to plantar flexion and
dorsiflexion.
History
Edwin Ryerson first described classical
triple arthrodesis in 1923 as fusion of all
three joints,he said “ the main aim of this
type of operation is improvement of
function of the foot.
1.Non union
TN joints non union most common
5-10 %
For decrease the chance of non
union medial incison also used for
removing all residual cartilage from
TN joint.
2.Degenerative joint disease
3.Wound healing problem
4.Nerve injuries
At risk sural nerve and superficial peroneal
nerve in case of lateral incision
Sapheneous nerve at risk in medial
incision
5.Avascular necrosis of talus
6.Lateral instability
due to hindfut placed in varus and
calceneofibular ligaments not heal
properly
7.Stiff foot
8.Pseudoarthrosis
Arthroscopic triple arthrodesis
Lui et al in 2006 describe a technique for
arthroscopic triple athrodesis that has six
portals.
Advantages over open procedures are
1.Better intraarticualr visulization
2. Thorough cartilage debridement
3.Preservation of bones
4. Less soft tissue dissection
5. Improves cosmetics results
Outcomes of procedues are still not
available
Thank you