TECHNIQUEPantalar Arthrodesis With Screw Fixation for Stage 4 Posterior Tibial Tendon DysfunctionAronow, Michael S. MDAuthor Information University of Connecticut Health Center Farmington, Connecticut Corresponding author: Dr. Michael S. Aronow, University of Connecticut Health Center, 10 Talcott Notch, MC 4037, Farmington, CT 06034-4037. E-mail: [email protected] Techniques in Foot & Ankle Surgery: September 2003 - Volume 2 - Issue 3 - p 162-172 Buy Abstract The treatment options for stage 4 posterior tibial dysfunction include tibiotalocalcaneal arthrodesis and pantalar arthrodesis. While many different types of internal and external fixation have been used, there are many advantages to using screws. The surgical technique allows reliable rigid fixation and compression and allows retention of the lateral fibular strut. While the results of pantalar arthrodesis for stage 4 posterior tibial tendon dysfunction with or without screw fixation have not yet been published in the English literature, good results have been noted anecdotally and have been reported for other etiologies. As there may be significant functional loss after pantalar arthrodesis, there may be greater use of other motion-sparing procedures in the future. © 2003 Lippincott Williams & Wilkins, Inc.