TY - JOUR AU - Iehl, Caleb AU - Auch, Elijah AU - Vivtcharenko, Victoria AU - Mansur, Nacime Salomão Barbachan AU - Kowalski, Heather AU - de Cesar Netto, Cesar de PY - 2020/08/30 Y2 - 2024/03/28 TI - Talocalcaneal coalition resection and bone block subtalar joint arthrodesis: a techinical tip JF - Journal of the Foot & Ankle JA - J Foot Ankle VL - 14 IS - 2 SE - Technical Tip DO - 10.30795/jfootankle.2020.v14.1190 UR - https://jfootankle.com/JournalFootAnkle/article/view/1190 SP - 211-218 AB - <p style="margin: 0px; border: medium; text-align: justify; line-height: 200%; text-justify: inter-ideograph;">In this technical tip, we present the case of an obese 17-year-old female diagnosed with a severe, rigid, and symptomatic flatfoot on a background of exuberant talocalcaneal and residual calcaneonavicular coalition. Through a technical modification of the fusion resection, both coalitions were quickly and safely removed with two single cuts of an oscillating saw, resecting a medial wedge through a medial approach, without the need for “peel-off” tarsal coalition resection. To protect and guide the resection osteotomy, one Freer elevator ws inserted under direct visualization on the patent posterolateral aspect of the subtalar joint posterior facet and a second elevator was positioned underneath the talar neck. Under fluoroscopic guidance, an osteotomy was performed connecting these two points. The patient also received a bone-block subtalar joint arthrodesis and a Cotton osteotomy. Good short-term alignment correction and functional outcome were achieved. <em><strong>Level of Evidence V; Therapeutic Studies; Expert Opinion.</strong></em></p> ER -