The objective of this study was to develop a new classification system based on the articular facets involved to cover all coalitions and guide operative planning.
Patients were diagnosed with talocalcaneal coalition using a CT scan, between January 2009 and February 2021. We classified the coalition into four main types according to the shape and nature of the coalition: I, inferiorly overgrown talus or superiorly overgrown calcaneus; II, both talus and calcaneus overgrew; III, coalition with an accessory ossicle; (I-III types are non-osseous coalition) IV, complete osseous coalition. Then each type was further divided into three subtypes according to the articular facets involved. A, the coalition involving the anterior facets; M, the coalition involving the middle facets, and P, the coalition involving the posterior facets.
Study Type
OBSERVATIONAL
Enrollment
106
patients with talocalcaneal coalition
CT
computerized tomography scan
Time frame: pre-surgery
MRI
magnetic resonance imaging
Time frame: pre-surgery
AFOAS
he American Orthopaedic Foot \& Ankle Society score
Time frame: pre-surgery, one year after sugery
Tegner
the Tegner score
Time frame: pre-surgery, one year after sugery
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