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  • Title: Posterior tibial tendon insufficiency. Isolated fusion of the talonavicular joint.
    Author: Fortin PT.
    Journal: Foot Ankle Clin; 2001 Mar; 6(1):137-51, vii-viii. PubMed ID: 11385921.
    Abstract:
    In selected patients, fusion of the talonavicular joint can be an effective treatment of adult flatfoot deformity. Restriction of motion and altered hindfoot mechanics, however, are a consequence of talonavicular fusion and can lead to accelerated arthrosis of adjacent joints. In patients with severe long-standing deformity, medial displacement calcaneal osteotomy may be a necessary adjunct to talonavicular fusion for adequate correction of heel valgus.
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