Growth rates in skeletally immature feet after triple arthrodesis

Craig A. Kuhns, Erik N. Zeegen, Michiyuki Kono, Terri Green, Colin F. Moseley, Norman Y. Otsuka

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Many authors delay triple arthrodesis in skeletally immature patients secondary to the belief that such a surgery would cause excessive shortening in a foot that is often already short. In the current study, foot growth rates were compared between a group of skeletally immature patients (<11 years) and a group of more skeletally mature patients (>11 years) after triple arthrodesis. The average age at surgery in the skeletally immature group was 9.8 years, with a mean follow-up of 3.4 years, and the average age at surgery in the more skeletally mature group was 13.6 years, with a mean follow-up of 2.5 years. No statistically significant differences in length or height growth rates after triple arthrodesis were found between the two groups. The incidence of pseudoarthrosis and residual deformity in both groups was comparable with other studies in the literature. This study does not support the belief that triple arthrodesis to correct hindfoot deformity, instability, or relief of pain should be restricted to the older child.

Original languageEnglish (US)
Pages (from-to)488-492
Number of pages5
JournalJournal of Pediatric Orthopaedics
Issue number4
StatePublished - Jul 2003
Externally publishedYes


  • Foot
  • Pediatrics
  • Triple arthrodesis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine


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