Original Articles: PDF OnlySurgical Treatment of Tarsal CoalitionsVriese, L. De; Dereymaeker, G.; Molenaers, G.; Fabry, G.Author Information Orthopaedic Department, University Hospital Pellenberg, Katholieke Universiteit Leuven, Pellenberg, Belgium Journal of Pediatric Orthopaedics B: Volume 3 - Issue 1 - p 96-101 Buy Abstract Twenty-nine patients with 39 tarsal coalitions were evaluated 1–10 years (average 3 years) after surgical treatment. Calcaneonavicular coalitions without secondary radiologic tarsal changes were scored as excellent or good results after excision and muscle interposition. Patients with secondary changes had slower rehabilitation, a higher recurrence rate, and a less favorable end result. Excision of talocalcaneal coalitions can provide good results, although, they are less predictable than calcaneonavicular coalitions. Most patients with a talocalcaneal coalition treated by excision and arthroeresis with a sinus tarsi spacer showed unsatisfactory early results because of severe tarsal pain. Long-term results after removal of the painful spacers were slightly better than those of patients not treated with spacers. © Williams & Wilkins 1994. All Rights Reserved.