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Calcaneo-navicular Coalition takedown surgical technique

Overview

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Learn the Calcaneo-navicular Coalition takedown surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Calcaneo-navicular Coalition takedown surgical procedure.

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 a fixed subtalar joint are by no means invariably present. Some patients may demonstrate apparent subtalar mobility on examination due to compensatory ankle mobility.

The question in adults with Tarsal coalitions is always whether to perform a simple take-down rather than to proceed directly to fusion surgery and this is a decision made with the patient fully aware of the implications of both surgical paths.

Author: Mark Herron FRCS

Institution: The Wellington Hospital , London , UK.

Feedback

  • Each operation and the questions associated become a named course in the CPD section
  • The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
  • You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
  • The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
  • There are four possible answers of which one is correct (or on occasion more correct) than the others.
  • There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
  • The course is completed once all the lessons are read and quizzes submitted and passed.
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  • The timer suspends after 5 minutes though if there is no activity.
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    The pass mark is 75%.
  • If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
  • Once these have been read you can re-do just the questions you failed on.
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CPD Points:

  • Operation Quiz – 1 CPD point
  • Surgical steps Quiz – 1/4 CPD point
  • Implants Quiz – 1/4 CPD point
  • Problem case Quiz – 1/2 CPD point

One CPD point equates to one hour of academic activity

COURSE

Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.

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