Calcaneo Navicular Coalition takedown
As with all coalitions the main indication for operation in a Calcaneo-Navicular coalition is for pain relief . Improved joint mobility may result though this is far less predictable , especially in the adult patient, and is not per-se an indication for operation.
The classical features of a unilateral plano-valgus foot and Subtalar stiffness are usually but by no means invariably present.
The question in adults with Tarsal coalitions is always whether to perform a simple take-down rather than to proceed directly to fusion surgery.
Author: Mark Herron FRCS
Institution: The Wellington Hospital , London , UK.