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Triple Fusion

Overview

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

The Triple fusion is  a versatile and successful intervention for treating both significant deformity as well as arthritic symptoms. The joints fused in this operation are the subtalar, talo-navicular and calcaneo-cuboid.

It is key that joint preparation is correctly done and that hind-foot and mid-foot alignment is restored. A CT or MRI is required in the majority of cases pre-operatively to adequately define the bone stock and level of deformity and identify all associated degenerative change.

Though the approaches used and techniques employed in the operation have changed little over the last thirty years a significant assistance to those performing has has been the development over the last ten to fifteen years of  large and compressive staples and locking plates to fix the midfoot joints. This technique demonstrates the use of an Orthosolutions cannulated large fragment screw to fix the subtalar joint and Wright Charlotte staples for the midfoot joints.

Functionality for most activities of daily living is little effected after a triple fusion but in the  longer term arthritis is likely to occur in the neighbouring joints.

 

 

Author:Mark Herron FRCS.

Institution: The Wellington Hospital, London

Surgical Steps

Welcome to the surgical steps quiz.

This tests your ability to recall the correct order in which the key steps of an operation should be performed.

There will be various legitimate variations in this order but the quiz doesn’t reflect this.
Your reference point for the steps quiz is just our operative technique.
It’s one starting point in helping you to learn the technique.

  • You simply “drag & drop” the boxes containing the descriptions of the steps into the order you think fits and submit for marking.
  • If you get it correct first time you will be presented your certificate at the end of the quiz.
  • If you need to do more work on the steps you access your marked version by clicking the“re-sit the quiz” button.
  • This will show the steps you ordered correctly highlighted in green and the incorrect ones in red.
  • The correct green steps are fixed and won’t move.
  • The red steps move differently after your initial attempt and swap locations with the step they are dragged and dropped onto .
  • Finally resubmit the quiz once again.
  • The quiz will let you keep going until you get all the steps in the right order.
  • The correct green steps are fixed and won’t move.
  • The red steps move differently after your initial attempt and swap locations with the step they are dragged and dropped onto .
  • Finally resubmit the quiz once again.
  • The quiz will let you keep going until you get all the steps in the right order.

COURSE PROGRESS

Surgical Steps

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