Flat Foot Corrected with STJ and TN Fusions


Does advanced age effect union rates? Some studies suggest so.

In this 61 yo male that installed custom floors for a living, we treated recalcitrant sinus tarsi syndrome and posterior tibial tendinitis with a double arthrodesis + TAL.
He complained of 1st MTP arthrosis as well, so we elected to avoid fusion for now with joint sparing cheilectomy as this may better allow kneeling required at work.

His post op films were taken at 10 wks with solid union evident. Still working on MTP ROM.

We used @extremitymedical hardware, and their BioFuse Pro bone allograft to supplement.

Do you have a graft protocol in place for certain age groups?