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As with all coalitions the main indication for operation in a Talo-Calcaneal coalition is for pain relief . Improved joint mobility may result though this is far less predictable , especially in the adult patient, and is not an indication for operation.
The classical features of a unilateral plano-valgus foot and Subtalar stiffness are usually 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.