Abstract
We present the results after surgical treatment in 15 patients who suffered from calcaneo-navicular coalitio. A total of 20 operations were performed on 19 feet (3 T arthrodesis, 5 simple resections, 9 resections with fat interposition, 3 resections with muscle interposition). At the time of follow-up, the patients were examined clinically and radiologically. In addition, different functional tests were performed (heel-tip test, balance test, single-leg high jump, single-leg jumping course). Ten of 17 patients who underwent radiographic study at the follow-up had a successful result. Patients who had a coalitio showed a tibial rotation (heel-tip test) of 11.5°, and those patients without a coalitio had a tibia rotation of 20.3°. Concerning the functional outcome, 12 of 17 patients had a successful result. The range of motion of the subtalar joint did not correlate with the functional capacity of the ankle. Seven of 20 patients subjectively judged the outcome as a failure. The worst results were found in patients with pre-existing degenerative changes at the time of resection
Similar content being viewed by others
References
Alter SA, McCarthy BE, Mendicino S, DiStazio J (1991) Department of Surgery, Podiatry Hospital of Pittsburgh, Pennsylvania. J Foot Surg 30:383–389
Badgley CE (1927) Coalition of the calcaneus and the navicular. Arch Surg 15:75
Bentzon PGK (1928) Coalitio Calcaneo Navicularis mit besonderer Bezugnahme auf die operative Behandlung des durch die Anomalie bedingten Plattfußes. Verh Dtsch Orthop Ges 20:269–274
Chambers RB, Cook TM, Cowell HR (1982) Surgical reconstruction for calcaneonavicular coalition. Evaluation of function and gait. J Bone Joint Surg [Am] 64:829–836
Cohen AH, Laughner TE, Pupp GR (1993) Calcaneonavicular bar resection. A retrospective review. J Am Podiatr Med Assoc 83:10–17
Cowell HR (1970) Extensor brevis arthroplasty. Proceedings of The American Academy of Orthopaedic Surgeons. J Bone Joint [Am] 52:820
Cowell HR, Elener V (1983) Rigid painful flatfoot secondary to tarsal coalition. Clin Orthop 177:54–60
Goldthwaite J, Painter C, Osgood R (1909) Diseases of the bones and joints. Heath & Co, Boston
Gonzalez P, Kumar SJ (1990) Calcaneonavicular coalition treated by resection and interposition of the extensor digitorum brevis muscle. J Bone Joint Surg 72:71–77
Hohmann G (1961/1982) In: Hohmann G, Hackenbroich K, Lindemann K (eds) Handbuch der Orthopädie, Vol IV/2. Thieme, Stuttgart (p. 842); 2nd edn, Witt et al. (eds) Orthopädie in Praxis und Klinik
Holl M (1880) Beiträge zur chirurgischen Osteologie des Fußes. Langenbecks Arch Klin Chir 25:211
Imhäuser G (1952) Der kontrakte Fuß des Adoleszenten und seine Behandlungsergebnisse. Arch Orthop Unfallchir 45:328
Inglis G, Buxton RA, Macnicol MF (1986) Symptomatic calcaneonavicular bars. The results 20 years after surgical excision. J Bone Joint Surg [Br] 68:128–131
Jayakumar S, Cowell HR (1977) Rigid flatfoot. Clin Orthop 122:77–84
Koeweiden EM, van Empel FM, van Horn JR, Slooff TJ (1989) The heel-tip test for restricted tarsal motion. Acta Orthop Scand 60:481–482
Mann RA, Baumgarten M (1988) Subtalar fusion for isolated subtalar disorders. Preliminary report. Clin Orthop 226:260–265
Mitchell GP, Gibson JMC (1967) Excision of calcaneo-navicular bar for painful spasmodic flatfoot. J Bone Joint Surg [Br] 49:281
Moyes ST, Crawfurd EJ, Aichroth PM (1994) The interposition of extensor digitorum brevis in the resection of calcaneonavicular bars. J Pediatr Orthop 14:387–388
Percy EC, Mann DL (1988) Tarsal coalition: a review of the literature and presentation of 13 cases. Foot Ankle 9:40–44
Resnik CS, Aiken MW, Kenzora JE (1993) Case report 780. Fracture of talar beaks in tarsal coalition. Skeletal Radiol 22:214–217
Schreiber A (1968) Symmetrische Fuß- u. Handwurzelsynostosen in 4 Generationen. Z Orthop 104:197
Shands AR Jr, Wentz IJ (1953) Congenital anomalies, accessory bones, and osteochondritis in the feet of 850 children. Surg Clin N Am 33:1643
Steinhäuser J (1970) Spätergebnisse operativ behandelter Fußkontrakturen bei Coalitio calcaneo-navicularis. Verh Dtsch Orthop Ges 56:377
Steinhäuser J (1970) Die funktionelle Bedeutung des Talo-Naviculargelenkes. Doctoral dissertation, University of Köln
Steinhäuser J (1979) Angeborene und erworbene Synostosen im Fußbereich und ihre klinische Bedeutung. Prakt Orthop 9:169
Swiontkowski MF, Scranton PE, Hansen S (1983) Tarsal coalitions: long-term results of surgical treatment. J Pediatr Orthop 3:287–292
Tachdjian MO (1985) The child's foot. W. B. Saunders, Philadelphia
Vaughan WH, Segal G (1953) Tarsal coalition with special reference to roentgenographic interpretation. Radiology 60:855
Wheeler R, Guevera A, Bleck EE (1981) Tarsal coalitions: review of the literature and case report of bilateral dual calcaneonavicular and talocalcaneal coalitions. Clin Orthop 156:175–177
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Jerosch, J., Lindner, N. & Finnen, D.A. Results of the surgical treatment of calcaneo-navicular coalito. Arch Orthop Trauma Surg 116, 379–384 (1997). https://doi.org/10.1007/BF00433995
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00433995