• 1

    Ryerson EW: Arthrodesing operation of the foot. .J Bone Joint Surg 5::453. ,1923. .

  • 2

    Banks HH, Green WT: The correction of equinus deformity in cerebral palsy. .J Bone Joint Surg Am 40:: 1359. ,1958. .

  • 3

    Crego CH Jr, McCarrol HR: Recurrent deformities in stabilized paralytic feet: a report with 1100 consecutive stabilizations in poliomyelitis. .J Bone Joint Surg 20::609. ,1938. .

    • Search Google Scholar
    • Export Citation
  • 4

    Dunn H: Stabilizing operations in the treatment of paralytic deformities of the foot. .Proc R Soc Med 15::15. ,1921. .

  • 5

    Hoke M: An operation for stabilizing paralytic feet. .Am J Orthop Surg 3::494. ,1921. .

  • 6

    Lambrinudi C: New operation on drop foot. .Br J Surg 15::193. ,1927. .

  • 7

    Siffert RS, del Torto U: “Beak” triple arthrodesis for severe cavus deformity. .Clin Orthop 181::64. ,1983. .

  • 8

    Willard DP: Subastragalar arthrodesis in lateral deformities of paralytic feet. .Am J Orthop Surg 14::323. ,1916. .

  • 9

    Conn HR: The treatment of fractures of the os calcis. .J Bone Joint Surg Am 17::392. ,1935. .

  • 10

    Figgie MP, O’Malley MJ, Ranawatt C, et al: Triple arthrodesis in rheumatoid arthritis. .Clin Orthop 292:: 250. ,1993. .

  • 11

    Marek FM, Shein AJ: Aseptic necrosis of astragalus following arthrodesing procedures of the tarsus. .J Bone Joint Surg Am 271::587. ,1945. .

    • Search Google Scholar
    • Export Citation
  • 12

    Swiontkowski MF, Scranton PE, Hansen S: Tarsal coalitions: long-term results of surgical treatment. .J Pediatr Orthop 3::287. ,1983. .

  • 13

    Vogler HW: Triple arthrodesis as a salvage for end-stage flatfoot. .Clin Podiatr Med Surg 6::591. ,1989. .

  • 14

    Dekelver L, Fabry G, Mulier JC: Triple arthrodesis and Lambrinudi arthrodesis: literature review and follow-up study. .Arch Orthop Trauma Surg 96::23. ,1980. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Wilson FC, Fay GF, Lamotte P, et al: Triple arthrodesis: a study of the factors affecting fusion after three hundred and one procedures. .J Bone Joint Surg Am 47:: 340. ,1965. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Mizel MS, Temple HT, Michelson JD, et al: Thromboembolism after foot and ankle surgery: a multicenter study. .Clin Orthop 348::180. ,1998. .

    • Search Google Scholar
    • Export Citation
  • 17

    Mudgal CS, Caines MA, Wilson MG: Risk factors in development of deep vein thrombosis after surgery of the foot and ankle. Paper presented at the American Orthopaedic Foot and Ankle Society Annual Winter Meeting, February 7, 1999, Anaheim, CA..

  • 18

    Saxby T, Solis G: Incidence of DVT following foot and ankle surgery. Paper presented at the American Orthopaedic Foot and Ankle Society Annual Winter Meeting, July 19–21, 2001, San Diego..

  • Angus PD, Cowell HR: Triple arthrodesis: a critical long-term review. .J Bone Joint Surg Br 68::260. ,1986. .

    • PubMed
    • Search Google Scholar
  • Bennett L, Graham CE, Mauldin DM, et al: Triple arthrodesis in adults. .Foot Ankle Int 12::138. ,1991. .

    • Search Google Scholar
  • El-Batouty MM, Aly ES, el-Lakkany MR, et al: Triple arthrodesis for paralytic valgus: a modified technique: brief report. .J Bone Joint Surg Br 70::493. ,1988. .

    • PubMed
    • Search Google Scholar
  • Graves S, Mann RA, Graves KO: Triple arthrodesis in adults: results after long-term follow-up. .J Bone Joint Surg Am 75::355. ,1993. .

    • PubMed
    • Search Google Scholar
  • Patterson RL Jr: Various factors involved in triple arthrodesis. .Clin Orthop 85::59. ,1972. .

    • PubMed
    • Search Google Scholar
  • Sangeorzan BJ, Smith D, Veith R, et al: Triple arthrodesis using internal fixation in treatment of adult foot disorders. .Clin Orthop 294::299. ,1993. .

    • Search Google Scholar
  • Scranton PE: Results of arthrodesis of the tarsus: talocalcaneal, midtarsal and subtalar joints. .Foot Ankle Int 12::156. ,1991. .

    • Search Google Scholar
  • Stein H, Simkin A, Joseph K: The foot-ground pressure distribution following triple arthrodesis. .Arch Orthop Trauma Surg 98::263. ,1981. .

    • PubMed
    • Search Google Scholar
  • Tenuta J, Shelton YA, Miller F: Long-term follow-up of triple arthrodesis in patients with cerebral palsy. .J Pediatr Orthop 13::713. ,1993. .

    • PubMed
    • Search Google Scholar

Triple Arthrodesis Using External Ring Fixation and Arched-Wire Compression

An Evaluation of 87 Patients

View More View Less
  • 1 Atlanta Leg Lengthening and Deformity Correction Center, Macon, GA. Dr. Talarico is now in private practice, Statesboro, GA.
Restricted access

From January 1995 to December 2000, 87 patients at a single medical center underwent triple arthrodesis using external rings and arched-wire compression as the method of fixation. A retrospective evaluation was conducted to assess the clinical results of this technique. Eighty-four patients (97%) achieved clinical and radiographic fusion in 6 to 8 weeks. All of the patients were partially weightbearing during the first postoperative week. Thirty-one patients (36%) developed a superficial infection at one or more wire insertion sites, and nine (10%) experienced dehiscence of an incision. Three patients (3%) developed an asymptomatic nonunion. This article describes the use of external ring fixation with arched-wire compression for triple arthrodesis and presents the findings from 87 patients who underwent this technique. (J Am Podiatr Med Assoc 94(1): 12-21, 2004)

Corresponding author: George R. Vito, DPM, Atlanta Leg Lengthening and Deformity Correction Center, 3556 Riverside Dr, Macon, GA 31210.