SPECIAL FOCUS: Hindfoot FusionsDouble-Hindfoot Arthrodesis Through a Single Medial ApproachWachter, Jeroen De MD; Knupp, Markus MD; Beat, Hintermann MDAuthor Information Kantonsspital Liestal, Liestal, Switzerland Address correspondence and reprint requests to Markus Knupp, MD, 26 Rheinstrasse, 4410 Liestal, Switzerland. E-mail: Markus.Knupp@KSLI.CH. No support has been obtained for the work in this article. Techniques in Foot & Ankle Surgery: December 2007 - Volume 6 - Issue 4 - p 237-242 doi: 10.1097/btf.0b013e31815b2081 Buy Metrics Abstract Triple arthrodesis has stood the test of time as a procedure that can restore a painful and/or deformed hindfoot into a stable and pain-free foot. Since the first triple-arthrodesis procedures have been described, little at the operative technique has changed. Recent studies suggest that some significant alterations in the technique may lead to equally good results. The technique we present in this article is a double arthrodesis (limiting a triple arthrodesis to the talonavicular and the talocalcaneal joint) using a single medial surgical approach, thus leaving the calcaneocuboid joint free whenever possible. When performed meticulously, we consider our technique as a valuable and safe alternative to the more classic "lateral" and "3-joint-fusion" way of thinking. Future studies are needed to support the short-term excellent results with this new approach. © 2007 Lippincott Williams & Wilkins, Inc.