J Korean Orthop Assoc.  1979 Sep;14(3):495-499. 10.4055/jkoa.1979.14.3.495.

Pantalar Arthrodesis

Abstract

There are many procedures for stabilizing the foot but all frail feet, all complete drop feet, and all calcaneocavus deformities due to paralysis are best treated by pantalar fusion. Hunt and Thompson advised one stage pantalar arthrodesis by astragalectomy and replacement of the denuded bone in paraiytic feet resulting from poliomyelitis. At the Presbyterian Medical Center, Jeonju, Korea, 12 one stage pantalar arthrodesis were performed between 1973 and 1978 and following observations were made. 1. Seven of the patient had pantalar fusions because of poliomyelitis. 2. Five feet were equinovarus and 4 had frail feet with varying amounts of varus or valgus of the forepart of the foot and of the heel. 3. Nine patients were considered to have a good result, two had a fair and one was failure 4. Length of immobilization was from 13 weeks to 37 weeks and the average length of immobilization was 17 weeks. 5. In one stage pantalar arthrodesis, there was no complication except one non-union and the period of hospitalization was decreased.


MeSH Terms

Arthrodesis*
Clubfoot
Congenital Abnormalities
Foot
Heel
Hospitalization
Humans
Immobilization
Jeollabuk-do
Korea
Paralysis
Poliomyelitis
Protestantism
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