Pan Talar Fusion with Anterior Plate

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The secret of health for both mind and body is not to mourn for the past, not to worry about the future, or not to anticipate troubles, but to live in the present moment wisely and earnestly. - Buddha

Pan Talar Fusion with Anterior Plate, also known as Pan Talar Arthrodesis, is a procedure used to facilitate the healing of the ankle joint. Very often due to neuropathy induced by conditions such as diabetes, patients end up losing sensation in their feet. As a result, complications such as Charcot foot can develop, which involves a degradation of the ankle joint. Additionally, arthritis induced by either athleticism or aged induced degeneration of the ankle, can cause weakening of the critical joint that facilitates our body weight distribution.

The Pan Talar Fusion with Anterior Plate entails fusion of the following segments of the body:  the tibiotalar, subtalar, talonavicular, and calcaneocuboid joints. The process is a salvage procedure, and facilitates the restoration of the joint by bracing the region for natural healing. There are some instances where if the process is not applied, the alternative would be to amputate the leg. In order to restore function and mobility, your orthopedic surgeon will describe the best course of action to take, in order to ensure that the optimum treatment path is followed. Not everyone requires this treatment, so ensure that an appropriate assessment followed by a diagnosis is carried out. Severe deformities and degradation of the joint are usually the roots that facilitate this treatment. A general list of possible treatments include:

Charcot Arthropathy

Post-traumatic Arthritis,

End-stage posterior tibial tendon dysfunction,

Clubfoot,

Failed total ankle replacement,

Rheumatoid arthritis,

Paralytic foot (Polio induced)

 

In an assessment, the orthopedic surgeon will look at mobility, alignment, and general stability of the region. 

Economic studies have been done on the procedure, and have proven to be effective. Even though prevention is significantly better than cure, it has been found that the limb salvage procedure that is involved is approximately US $10,000 less than the amputation costs. Patients are also significantly more comfortable keeping their limbs intact.

How does the procedure work?

The Pan Talar fusion procedure is a stabilizing force in the affected foot. Before the process is facilitated, the orthopaedic surgeon will carry out a detailed analysis of the region. Via tests such as X-rays of the region, the extent of damage can be assessed, and an appropriate treatment plan can be developed, that facilitates the healing process. Additional assessment via processes such as Computed Tomography (CT) studies, magnetic resonance imaging (MRI) and nuclear imaging can assist with the deeper details of the integrity of the joint. Once the assessment is carried out, the surgery plan can then be created.

The Pan Talar Fusion surgery is a complicated procedure, requiring a series of incisions in order to facilitate the appropriate scaffolding of the region. The process requires the following activities to be facilitated:

Including one-and two-incision approaches with open reduction, and internal fixation retrograde intramedullary nailing and the use of external fixation.

During the process, the surgeon will take the steps to maintain the integrity of the ankle joint while fusing together the plate, and the relevant screw inserts that will ensure that the region is restored. Via series of cuts, the insertions of the appropriate segments of the internal scaffold will be facilitated. The central bone that the procedure will focus on is the talus.

With an appropriate plan, the procedure will be successful, and as a patient you will be well on your way to recovery and mobility restoration.

 

Reference Article:

https://www.podiatrytoday.com/current-concepts-pantalar-arthrodesis