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The Journal of Bone and Joint Surgery, Vol 75, Issue 3 355-362, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc
Triple arthrodesis in older adults. Results after long-term follow-up
SC Graves, RA Mann and KO Graves
Campbell Clinic, Memphis, Tennessee 38120.
We studied the results for seventeen patients (eighteen feet) who had had a
triple arthrodesis at an average age of sixty-six years (range, fifty-two
to eighty years). There were twelve women and five men. The procedures had
been performed to correct deformities of the hindfoot and midfoot caused by
an untreated rupture of the posterior tibial tendon in ten patients; by
rheumatoid arthritis in three patients (four feet); and by neuropathic
arthropathy (associated with diabetes mellitus), trauma, old poliomyelitis,
and a stroke in one patient each. The average duration of follow-up was
forty-two months (range, twenty-seven to 156 months). At the most recent
follow-up examination, three patients had a non-union (one, of the
talonavicular joint and two, of the calcaneocuboid joint), six patients
(seven feet) had progressive degenerative joint disease involving the
ankle, seven had progressive degenerative changes in the mobile joints of
the feet, two had had an infection but both infections had healed, and one
had had postoperative collapse of the foot because of premature,
unauthorized weight-bearing. In one patient, a staple across the subtalar
joint had been removed because of pain caused by impingement of the staple
on the tip of the fibula. Over-all, fourteen of the seventeen patients were
satisfied with the result of the operation. All seventeen had less pain
postoperatively, but eleven still had some discomfort.(ABSTRACT TRUNCATED
AT 250 WORDS)

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