The Journal of Bone and Joint Surgery, Vol 69, Issue 4 539-544, Copyright © 1987 by Journal of Bone and Joint Surgery, Inc
Excision of symptomatic coalition of the middle facet of the talocalcaneal joint
BW Olney and MA Asher
From 1977 through 1984, nine patients who had ten persistently symptomatic
coalitions of the middle facet of the talocalcaneal joint were treated with
excision of the coalition and an autogenous free fat graft. Evaluation
revealed five excellent, three good, one fair, and one poor result, with an
average length of follow-up of forty-two months after surgery. The patient
(one foot) with the fair result initially had a poor result until revision,
at which time incomplete resection was documented. The patient (one foot)
with the poor result initially had a fair result, but it deteriorated forty
months postoperatively. Incomplete resection at the time of the initial
operation was documented at the time of the second operation. Functional
testing of these patients revealed results that were comparable with the
results that have been reported after resection of calcaneonavicular
coalition. [corrected]