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

Abstract Background 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 retu...

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Main Authors: Amol Saxena, Ryan Allen, Anthony Wright, Filippo Migliorini, Nicola Maffulli
Format: Article
Language:English
Published: BMC 2022-10-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-022-03350-8
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author Amol Saxena
Ryan Allen
Anthony Wright
Filippo Migliorini
Nicola Maffulli
author_facet Amol Saxena
Ryan Allen
Anthony Wright
Filippo Migliorini
Nicola Maffulli
author_sort Amol Saxena
collection DOAJ
description Abstract Background 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). Methods 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. Results 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. Conclusion Surgical excision of tarsal coalitions produced favorable results, with most patients able to return to their desired activity level. Level of evidence IV.
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spelling doaj.art-e423c525c5544b64811661457ce446462022-12-22T04:37:04ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2022-10-011711710.1186/s13018-022-03350-8Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patientsAmol Saxena0Ryan Allen1Anthony Wright2Filippo Migliorini3Nicola Maffulli4Department of Sports Medicine, Palo Alto Medical FoundationSeal Beach Podiatry GroupWestern UniversityDepartment of Orthopaedic, Trauma, and Reconstructive Surgery, RWTH Aachen University HospitalDepartment of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of SalernoAbstract Background 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). Methods 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. Results 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. Conclusion Surgical excision of tarsal coalitions produced favorable results, with most patients able to return to their desired activity level. Level of evidence IV.https://doi.org/10.1186/s13018-022-03350-8Tarsal coalitionResectionPediatricTalusCalcaneusNavicular
spellingShingle Amol Saxena
Ryan Allen
Anthony Wright
Filippo Migliorini
Nicola Maffulli
Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patients
Journal of Orthopaedic Surgery and Research
Tarsal coalition
Resection
Pediatric
Talus
Calcaneus
Navicular
title Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patients
title_full Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patients
title_fullStr Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patients
title_full_unstemmed Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patients
title_short Tarsal coalition resections: a long-term retrospective analysis of 97 resections in 78 patients
title_sort tarsal coalition resections a long term retrospective analysis of 97 resections in 78 patients
topic Tarsal coalition
Resection
Pediatric
Talus
Calcaneus
Navicular
url https://doi.org/10.1186/s13018-022-03350-8
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AT ryanallen tarsalcoalitionresectionsalongtermretrospectiveanalysisof97resectionsin78patients
AT anthonywright tarsalcoalitionresectionsalongtermretrospectiveanalysisof97resectionsin78patients
AT filippomigliorini tarsalcoalitionresectionsalongtermretrospectiveanalysisof97resectionsin78patients
AT nicolamaffulli tarsalcoalitionresectionsalongtermretrospectiveanalysisof97resectionsin78patients