Education & Academic Affairs

Revision of Failed Triple Arthrodesis for Flatfoot Deformity

This case appears in the HSS publication Grand Rounds from HSS - Management of Complex Cases, September 2015, Volume 6, Issue 1, Case 1

Case 1, presented by Elizabeth A. Cody, MD, Matthew M. Roberts, MD, and Scott J. Ellis, MD describes a 66-year-old woman who presented initially for consultation at Hospital for Special Surgery (HSS) in February 2012 with severe right flatfoot deformity. She had a 6-year history of right foot pain, and past surgical history was notable for distal metatarsal osteotomy for hallux valgus. In October 2012, the patient elected to undergo triple arthrodesis for her pes planovalgus deformity at another hospital. Upon returning to HSS in 2014, it was recommended she undergo revision triple arthrodesis. In August 2014, the patient underwent removal of hardware, revision triple arthrodesis, and concomitant medializing calcaneal osteotomy. Following the procedures, at 6 months, she had minimal symptoms, and examination showed significantly improved hindfoot and forefoot alignment with good ankle range of motion.

Read full case details in Volume 6, Issue 1 of Grand Rounds - Complex Cases.

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For any questions or comments regarding GRMCC, email complexcases@hss.edu.