Post-interventional outcomes in the management of adult calcaneonavicular coalitions: a systematic review.
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Authors
Duffaydar, Hamza
Issue Date
2022-11-08
Journal
Type
Article
Peer-Reviewed Publication
Peer-Reviewed Publication
Keywords
Adult
Ankle
Calcaneonavicular coalition
Complications
Foot
Management
Outcome
Peer-reviewed article
Post-operative
Review
Tarsal coalition
Systematic review
Ankle
Calcaneonavicular coalition
Complications
Foot
Management
Outcome
Peer-reviewed article
Post-operative
Review
Tarsal coalition
Systematic review
Journal Title
Cureus
Volume
14
Issue
11
Begin page
e31253
End page
Abstract
Calcaneonavicular coalitions in adults can be managed conservatively or through operative means involving resection or arthrodesis of the joints. The aim of this systematic review was to compare complication rates and functional outcomes for the different interventions. PubMed, MEDLINE, Embase, and the Cochrane Library were searched for relevant studies that reported outcomes for the management of calcaneonavicular coalitions in adults. Twenty-three studies met the inclusion criteria, comprising 118 coalitions. Forty-one coalitions were managed conservatively and 71 through operative means of which, 62 included a resection and nine had an arthrodesis performed. Patients who were operated upon had a significantly higher complication rate of 23.4% compared to 10.6% for those who were managed conservatively (p=0.048). There was no significant difference in complication rates among those who had a resection or an arthrodesis. All studies demonstrated an improvement in functional outcomes regardless of intervention used. Conservative management of calcaneonavicular coalitions in adults should continue to be advocated as first-line treatment given the lower complication rates compared to operative means.
Citation
Duffaydar H, Elmajee M, Dermanis AA, Hussain S, Pillai A. Post-interventional Outcomes in the Management of Adult Calcaneonavicular Coalitions: A Systematic Review. Cureus. 2022 Nov 8;14(11):e31253. doi: 10.7759/cureus.31253. PMID: 36382326; PMCID: PMC9642963.