TechniquesHindfoot Double Arthrodesis in Adults Using Cannulated Screws: How We Do It?Galhoum, Ahmed E. MD, MRCS*; Alrashidi, Yousef MD, SB-Ortho†; Herrera-Pérez, Mario MD, PhD‡; Wiewiorski, Martin MD§; Miller, Margaux B. MS, BA∥; Barg, Alexej MD∥; Trivedi, Vineet FRCS (T&O)*; Valderrabano, Victor MD, PhD¶ Author Information *Department of Trauma & Orthopaedics, George Eliot Hospital NHS, Nuneaton, UK †Orthopaedic Department, College of Medicine, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia ‡Orthopaedic Department, University Hospital of Canary Islands, La Laguna, Tenerife, Spain §Orthopaedic and Trauma Department Kantonsspital Winterthur, Winterthur ¶Department of Orthopaedics and Traumatology, Swiss Ortho Center, Basel, Switzerland ∥Department of Orthopaedics, University of Utah, UT Present address: Vineet Trivedi, FRCS (T&O), Post CCT Sports Knee and Hip Arthroplasty Ashford & St Peters Hospital, London, UK. The authors declare no conflict of interest. Address correspondence and reprint requests to Ahmed E. Galhoum, MD, MRCS, Department of Trauma & Orthopaedics, George Eliot Hospital NHS, College Street, Nuneaton CV107DJ, UK. E-mails: [email protected]; [email protected]. Techniques in Foot & Ankle Surgery 21(2):p 63-69, June 2022. | DOI: 10.1097/BTF.0000000000000299 Buy Metrics Abstract Hindfoot arthrodesis is a common orthopedic surgical procedure indicated for reconstructive surgery in patients with advanced osteoarthritis, rheumatoid arthritis, posterior tibial tendon insufficiency (stages III and IV), severe cases of tarsal coalition, advanced stages of cavovarus foot (eg, Charcot-Marie-tooth disease), or type 2 Brodsky Charcot hindfoot arthropathy. Triple arthrodesis utilizing solid (noncannulated) screws is a technically demanding procedure because accurate placement of these screws is complex. Cannulated screws have become popular because of their easier insertion than solid screws and because of a lower chance of loss of reduction during insertion. The traditional triple hindfoot arthrodesis is performed using 2 separate incisions and also by the single medial approach with cannulated screws. Both procedures are described and illustrated in detail in this paper. We recommend inserting screws starting with the joint that has the greatest preoperative deformity and address soft tissue contractures if needed earlier during surgery. Appropriate placement of screws is very important for stable reconstruction and good postoperative outcomes. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.