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Selected Instructional Course Lectures   |    
Arthrodesis Techniques in the Management of Stage-II and III Acquired Adult Flatfoot Deformity
Jeffrey E. Johnson, MD1; James R. Yu, MD1
1 Department of Orthopaedic Surgery, Washington University School of Medicine, 660 South Euclid Avenue, Box 8233, St. Louis, MO 63110. E-mail address for J.E. Johnson: foot@msnotes.wustl.edu
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The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.
Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in February 2006 in Instructional Course Lectures, Volume 55. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 Aug 01;87(8):1865-1876
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Extract

Arthrodesis is indicated for the management of an acquired adult flatfoot disorder with a fixed deformity or degenerative joint disease. In general, limited fusions of the hindfoot and midfoot preserve more motion than do extensive fusion procedures such as triple arthrodesis. However, full correction of the deformity is important for a durable outcome, and this may require a more extensive fusion procedure or the inclusion of adjunctive procedures.Triple arthrodesis provides the most reliable and predictable correction of a fixed deformity. Careful preoperative and intraoperative physical examination and radiographic evaluation are critical to developing an operative plan that will address all of the components of this complex deformity and to minimizing the chance of its recurrence.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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