Hindfoot fusion can involve permanently fixing the subtalar and Chopart joints (which is made up of the talonavicular and calcaneocuboid joints) to treat hindfoot arthritis. It is also a treatment option for people with a severe deformity such as flat feet, high-arched foot, or a club foot in which the ankle joint is also deformed, unstable, or damaged. 2012 May;33(5):386-93. doi: 10.3113/FAI.2012.0386. The calcaneocuboid joint and the talonavicular joints are responsible for complex hindfoot circumduction. Learn more Watch on YouTube Watch on Calcaneo-cuboid arthrodesis with VariAx plate Lateral column length is critical to maintaining the shape and function of the foot. Reference article, Radiopaedia.org (Accessed on 04 Mar 2023) https://doi.org/10.53347/rID-70289, see full revision history and disclosures, posterior suprapatellar (prefemoral or supratrochlear) fat pad, anterior suprapatellar (quadriceps) fat pad, accessory anterior inferior tibiofibular ligament, superficial posterior tibiotalar ligament, superficial posterior compartment of the leg (calf), accessory extensor digiti secundus muscle, descending branch of the lateral circumflex. Its joint capsule is thickened superiorly and also inferiorly 1. This procedure fuses, or welds, together the two bones that make up your aching joint. The calcaneocuboid joint is stabilized by ligaments on its superior and inferior aspects. The goal of the treatment is bone healing with appropriate intra- and extra-articular reduction to maintain lateral column length. 2017;2017:4383981. doi: 10.1155/2017/4383981. Fortin 4 reported that subtalar joint motion was reduced by 80% to 90% after an isolated fusion of the talonavicular joint and that motion of the calcaneocuboid joint was lost completely, leading to accelerated arthrosis of adjacent joints. A bridge plate or an external fixator may be used to supplement the cuboid reconstruction. Our goal is for you to experience the following benefits after surgery: Location: An appropriate locking plate is selected to bridge the defect. KNOW YOUR PRODUCT SAL. This procedure can be technically challenging. Potential Complications from Calcaneocuboid Joint Arthrodesis: The potential complications of calcaneocuboid joint arthrodesis include bleeding, infection and a negative reaction to the anesthesia that is used. It is a synovial articulation between the calcaneus and the cuboid bones of the foot. This leaflet tells you what to expect as you recover from having foot fusion surgery. British volume. Churchill Livingstone. How to Avoid Weight Gain During a Shut-Down, Cleaning Your House During the Coronavirus Outbreak, Cutting Through Chronic Pains Brain Fog, Protect Your Skin While Practicing Good Hand Hygiene, Exercises for Individuals with Multiple Sclerosis (MS) - Warm-up, Strength, Core and Balance, 4 Ways to Lower Blood Pressure Without Medication. Two bicortical pins are inserted in both the calcaneum and the 5th metatarsal. Your doctor may choose to give you general anesthesia, which will allow you to sleep through the procedure. 5. Consisting of hydroxyapatite, tri-calcium phosphate and bioactive glass in a collagen matrix, the Backfill Plugs are sized to easily fit in surgically created osseous defects; 5.5mm dia. Rammelt S, Zwipp H, Schneiders W, Heineck J. Eur J Trauma Emerg Surg. This will allow your bones to fuse. What is a Talonavicular Fusion? We look forward to hearing your thoughts. Prognosis after Calcaneocuboid Joint Arthrodesis: The prognosis for a positive end result following calcaneocuboid joint arthrodesis is good. A mesh plate can be used for larger defects and a cuboid plate for smaller defects. Non-steroidal anti-inflammatory drugs (NSAIDs) are a safer choice than opioids, which are highly addictive. The site is secure. This site needs JavaScript to work properly. Fusion is one treatment option to relieve pain in patients who have a worn out joint due to arthritis or a traumatic injury. Analysis of the inversion and eversion ranges of motion suggests that the lengthening fusion limits eversion more than inversion. government site. The innervation of the joints of the foot. [4] This may be a sign of a worse fracture, associated with worse outcomes (such as osteoarthritis) after treatment. Instead of bridge plating, the lateral column distractor can be replaced with an external fixation construct, which can be left in place while the bone heals. After 10 -14 days you will need to come back to have your stitches removed. Corticosteroid Injections for Osteoarthritis, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Smoking Pot Every Day Linked to Heart Risks, Artificial Sweetener Linked to Heart Risks, FDA Authorizes First At-Home Test for COVID and Flu, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox. Bethesda, MD 20894, Web Policies At the time the article was last revised Joachim Feger had no recorded disclosures. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. After you go home, contact your doctor if you exhibit signs of infection, such as: Redness, tenderness or swelling. [4], This article incorporates text in the public domain from page 354 ofthe 20th edition of Gray's Anatomy (1918), Ligaments of the medial aspect of the foot. This procedure can also relieve symptoms of back problems like degenerative disk disease and scoliosis. Conditions Treated with Calcaneocuboid Joint Arthrodesis: Calcaneocuboid joint arthrodesis is utilized to relieve foot pain or to correct misalignment of the calcaneocuboid joint. Think of the thigh bone and shin bone. "Triple" arthrodesis earned its name because it involves fusing the three joints of the hindfoot the calcaneocuboid, subtalar and talonavicular to correct the deformity. A calcaneocuboid fusion fuses together the calcaneus and cuboid bones of the hindfoot The calcaneocuboid joint is a type of saddle joint between the calcaneus and the cuboid bone.[1]. (for 8mm void) by 40mm in length. National Library of Medicine Foot Ankle Clin. During above the knee amputation, the leg is su Acetabular augmentation wedge involves grafting During adductor release, the adductor muscle an New Recommendations for DIY Cloth Masks & What You Can Use, What Scientists Know About the Coronavirus, Study Looks at Resting Heart Rate Differences, New Study Finds It's Rare to Get the Flu and a Cold at the Same Time, Movember Funds New Testing Possibilities, Prostate Cancer Risk and Eating Mushrooms, A Case Study Linked Poor Nutrition to Blindness, Working Long Hours is Linked to Stroke Risk, New Research Brings Us Closer to Man-Made Kidneys, Female Firefighters at Increased Risk of PTSD, Suicidal Thoughts, Coronavirus vs. Bookshelf However the patient satisfaction resulting from this surgery is a more realistic 80-85%. Joint fusion surgery can be done on many different joints, such as your: It can take a while to heal -- sometimes many months -- from joint fusion surgery. The calcaneocuboid joint involves the anterior surface of the calcaneus and the posterior surface of the cuboid. It is demonstrated that when fusing the calcaneocuboid joint, attention should be paid to maintaining a neutral position of the foot, which resulted in significant decreases in motion in the talocalcaneal and talonavicular joints. brookstone therapeutic percussion massager with lcd screen; do nigel and jennifer whalley still own albury park 3. [Joint-preserving correction of Chopart joint malunions]. (2004) Foot & ankle international. An official website of the United States government. The surfaces were osteotomized to expose cancellous bone and remove the surfaces. Beimers L, Louwerens JW, Tuijthof GJ, Jonges R, van Dijk CN, Blankevoort L. Foot Ankle Int. You will not be able to put weight onto the foot for a total of 8-10 weeks after surgery. Gardner, E. and Gray, D. (1968). Lohrer H, Arentz S. Calcaneocuboid joint instability: a novel operative technique for anatomic reconstruction. The conclusion is that fusion is still a good treatment for the painful post-traumatic arthritis ankle, the resulting functional disability being minimal. FOIA Use a lateral-column distractor to achieve the articular surface visualization needed for accurate reduction and fixation. Located on the outside of the foot, in front of the heel bone, the cuboid bone is characterised by its cube shape. 1. Enter your location, Please Enable Location Services in Your Browser Settings to Continue, Foot & Ankle Fusion Surgery | MedStar Health, Show All Foot and Ankle Orthopedic Surgery, Good Faith Estimate and No Surprise Billing, Improved ability to bear weight on the affected foot and ankle, Ability to return to normal activities without pain. The calcaneocuboid joint is part of the mid-tarsal (Chopart) joint. Both types of surgical treatments are effective, UW Medicine study finds, but ankle replacement appears to have better outcomes overall after two years. 14.17). In other cases, you may have local anesthesia. PMC Operative treatment of the difficult stage 2 adult acquired flatfoot deformity. Insert the external fixator pins in the calcaneum through stab incisions, proximally in the calcaneum, and distally in the fifth metatarsal. Katie, I would look at the code set 28705-28760, not sure which joint but 28740 is midtarsal or tarsometatarsal joint, single. ), Last edited on 19 February 2023, at 08:29, "Biometry of the calcaneocuboid joint: biomechanical implications", "The calcaneocuboid joint moves with three degrees of freedom", "Calcaneocuboid Joint Involvement in Calcaneal Fractures", https://en.wikipedia.org/w/index.php?title=Calcaneocuboid_joint&oldid=1140269367, This page was last edited on 19 February 2023, at 08:29. Available in 2 to 6 hole configurations. [Effect of calcaneocuboid arthrodesis on three-dimensional kinematics of talonavicular joint]. ADVERTISEMENT: Supporters see fewer/no ads. Long-term follow-up study We examined 16 feet, 33 to 133 months (mean 83) after simultaneous calcaneocuboid and talonavicular fusions performed for a variety of painful disorders of the hindfoot. Zhou H, Ren H, Li C, Xia J, Yu G, Yang Y. Biomed Res Int. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. J Foot Ankle Surg. Over time, the ends of your joint will grow together to become one solid piece. It is a surgical procedure that fuses or connects the bones with screws, prohibiting motion in the foot or ankle and creating a permanent joining of the bones. This representation of SAL illustrates the occurrence of a living microorganism surviving the sterilization process. Anesthesia with Calcaneocuboid Joint Arthrodesis: Calcaneocuboid joint arthrodesis is typically performed under local anesthesia and sedation. 8600 Rockville Pike hope this helps. New arthritis in nearby joints (very common). Next, theyll use metal plates, screws, or wires to close the space within your joint. Amazing subtalar and calcaneocuboid fusion recovery. An incision is made and the damaged cartilage is removed from the joint so that the surface of your bones is level. MedStar Health is home to a team of doctors who specialize in surgical treatments, such as foot and ankle fusion surgery. Located on the outside of the foot, in front of the heel bone, the cuboid bone is characterised by its cube shape. Clipboard, Search History, and several other advanced features are temporarily unavailable. Lateral column length is critical to maintaining the shape and function of the foot. Then, theyll scrape away all the damaged cartilage (tissue) from your joint. The talonavicular joint is critical in allowing the foot to move inwards and outwards, as well as in a circular motion. MeSH Healing can take up to 12 weeks, so youll want some help getting through your daily life. Careers. Continue to learn and join meaningful clinical discussions, Revised proximal femur module is now online, patient placed supine with the knee flexed 90, Restoration of the appropriate length of the lateral column, In-plane bending to adapt to the arch of the lateral foot, Out of plane bending to adapt to the lateral contour of the lateral column, Torquing to fit both the vertical wall of the calcaneus proximally and the dorsal aspect of the fourth metatarsal distally. Dr. Ebert will begin treatment by making a small incision on both the outer and inner side of the ankle. Each sterile screw package has 6 self-adhesive labels per Implant and easily identifiable by style, diameter and length on the color-coded end cap. This occurs more typically in the mid and hind-foot. It is helpful to have comparative x-rays from the uninjured side, allowing proper length and morphology to be judged. Accessibility Or, it could come from a bone bank, which stores donated bones for use in surgeries like this. Calcaneocuboid arthrodesis is more commonly performed as an adjunct procedure with other rearfoot procedures such as triple arthrodesis and is less used as isolated fusion. If you have severe arthritis pain, your doctor may suggest that you have joint fusion surgery (also called arthrodesis). Hello, Just thought I would post here as I'm amazed by how well progress has been for me and it might give others positivity if anyone has the same procedure. The .gov means its official. The .gov means its official. This is an operation to fuse or stiffen a joint in the middle part of the foot. You may need to ask a family member or friend to assist with household tasks. Youll probably need to wear a cast or brace. Effect of variations in calcaneocuboid fusion technique on kinematics of the normal hindfoot. At the time the article was created Ihab Mikhail had no recorded disclosures. Get personalized tips to reduce discomfort. During surgery, this joint between the talus bone above and calcaneus bone below is removed as the joint surfaces are fixed together. A tibial bone graft may be taken from your knee area to be used in conjunction with the screws. Analysis of the inversion and eversion ranges of motion suggests that the lengthening fusion limits eversion more than inversion. Epub 2017 Apr 10. This hardware is often permanent and will stay in even after your joint heals. Just to give a brief run down, back in 1999 I fell 50 foot and smashed my heels which had to be built back up with many many months of . document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Send us an email and we'll get back to you asap. bone block, lateral column lengthening; and. Some patients experience reduced mobility following the procedure. Therefore, the cuboid length must be maintained. 2012 Jun;17(2):309-22. doi: 10.1016/j.fcl.2012.03.008. Foot Ankle Clin. Triple fusion is the joining together of three joints (the talonavicular, subtalar and calcaneocuboid joints) as a treatment for arthritis or as a method of correcting a . Sterile undercast padding is placed from toes to knee. This site needs JavaScript to work properly. In fact, joint pain is relieved for most patients. You will need to wear the cast until the foot or ankle has fused, which usually takes six weeks to three months. They are fused together with metal plates, pins, or screws. Make sure you stop taking them as soon as your pain lessens. Your ankle needs to be fully fused before you can drive. Minor Ankle Procedures + Standard Protocol These ankle surgeries are considered more minor and have the advantage that most patients can walk much sooner. Fixation with a locking compression plate (LCP) may be easier to perform while achieving compression perpendicular to the fusion site. It is used to treat a wide range of foot and ankle conditions that cause chronic pain in the foot and ankle joint. - arthrodesis of 1st metatarsal-tarsal joint and. Bridging may be achieved using either an external fixator or a reconstruction plate until the cuboid has healed. You are using an out of date browser. While triple fusion remains a commonly performed procedure for severe flatfoot, it is not without risk. 2012 Jan;29(1):91-102. doi: 10.1016/j.cpm.2011.09.004. Because of this, your doctor will want to know that you can cope with a long recovery. It is commonly performed to help correct the condition of pes planus (commonly called flat foot or fallen arch). Before 6000 Poplar Ave., Ste. When contouring locking plates, care must be taken not to deform the screw holes. The anterior area is left free of plaster to allow for swelling. Unlike the TN joint, which is responsible for complex hindfoot circumduction, the CC joint is less important for normal function. Anatomico-radiological Study of the Bifurcate Ligament of the Foot with Clinical Significance. The graft is harvested from either the distal or proximal tibia. You must log in or register to reply here. However, the cuboid rotates as much as 25 about an oblique axis during inversion-eversion in a movement that could be called involution. All rights reserved. It is continuous with the thickening of the dorsal articular capsule of the calcaneocuboid joint and can have a variable appearance due to anatomic variations. The Anatomical Record, [online] 161(2), pp.141-148. The step-by-step bending procedure is analog to the bending of reconstruction plates. So too with the bones in the foot. The medial calcaneocuboid ligament is the lateral band of the bifurcate ligament. Epub 2010 May 28. They are fused together with metal plates, pins, or screws. In a midfoot fusion, your foot and ankle orthopaedic surgeon fuses together the different bones that make up the arch of the foot. These alternatives include pain medication, strength training, physical therapy, or steroid injections. In adults, however, lengthening leads to calcaneocuboid arthritis. As with all foot surgery it is common for minor discomfort and swelling to persist for some months after surgery and is completely normal. Since there is very little movement in the small joints of the midfoot, the function of the foot can be preserved. Federal government websites often end in .gov or .mil. Calcaneocuboid joint arthrodesis involves the fusion of the cuboid and calcaneus bones. Once the fusion site is prepared, the distraction can be adjusted to achieve the correct length of the lateral column. After this type of surgery, you can expect to lose some of your range of motion and feel stiff in your joint. My thesis aimed to study dynamic agrivoltaic systems, in my case in arboriculture. [2] Momberger N, Morgan JM, Bachus KN, West JR. What is it? Following surgery, you will need to keep your foot elevated to help reduce the swelling. Subtalar fusion has been shown to surgically work in up to 85-95% of cases. When two bones come together they form a joint. Fixation with a locking compression plate (LCP) may be easier to perform while achieving compression perpendicular to the fusion site. 1. This article reviews the main conditions of the lateral column and calcaneocuboid joint in particular. In the present study, we present our experience with newly developed rigid -tricalcium phosphate wedges to treat CCDA to better understand the outcomes of this synthetic bone grafting procedure. After lateral column lengthening with calcaneocuboid fusion, 48% of talonavicular and 70% of subtalar joint range of motion were preserved. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Still, you could experience: Smokers are also at risk for a condition doctors call pseudoarthrosis. The foot should be immobilized for the first two weeks, which can be achieved using a three-sided plaster splint. After this type of surgery, you can expect to lose some of your range of motion and feel stiff in your joint. Sometimes, your surgeon will place a small piece of bone between the two ends of your joint. 25,27,28 For the more severe de-formities, the surgeon may elect to proceed to a fusion that includes the talonavicular joint. After six weeks and once an X-ray confirms that your bones are healing correctly, you can start to put weight on your foot. and transmitted securely. 2000 Oct;21(10):845-8. doi: 10.1177/107110070002101008. These new joints generally last about 10-15 years and the procedure is usually very successful. The joint will then be rigid and no longer painful. Inversion/eversion motion was produced by tendon pulls and the range of motion was measured in three dimensions using a magnetic space tracker. What is the extra bone in your ankle called? The metalwork usually stays in the foot for the rest of your life. Calcaneocuboid joint. Unauthorized use of these marks is strictly prohibited. It may not display this or other websites correctly. Methods: Twelve fresh-frozen cadaveric specimens were cyclically loaded to 720 N at 0.5 Hz for 30 cycles. The calcaneocuboid joint can be rarely associated with lateral ankle instability and pain if it is dislocated or subluxed 3. How it helps arthritis, migraines, and dental pain. The exposure is via the distal end of the incision used for the subtalar fusion. Until that happens, youll need to protect the area. Theyll carefully take this bone from your pelvic bone, heel, or just below your knee. Our experienced orthopedic surgeons offer you the comprehensive care you need for an effective procedure and a successful recovery. Normal Anatomy and Traumatic Injury of the Midtarsal (Chopart) Joint Complex: An Imaging Primer. Your doctor might also choose to use a special manmade substance in place of an actual bone. If any complication is suspected (eg, infection or compartment syndrome), the dressing must be split and, if necessary, removed to allow full inspection. Distraction is essential when dealing with comminution or a delay between the injury and the definitive reduction. The calcaneocuboid joint is stable, although multiple conditions might affect the joint, including arthritis, fracture, subluxation, and dislocation. The joints will then be rigid and no longer painful. Federal government websites often end in .gov or .mil. Over time, arthritis can cause severe damage to your joints. BioV Bioactive Matrix is a novel bone graft substitute expressly designed to optimize surgical handling, graft stability and osteoproductivity. Percutaneous subtalar joint screw fixation of comminuted calcaneal fractures: a salvage procedure. The following types of surgical techniques may be used: Surgery may be done as an outpatient procedure or in some cases may involve a one-night stay in the hospital. Query: Multiple Arthrodesis Procedure Coding l. Procedure Coding. The soft tissues, including capsule and periosteum, are often disrupted. official website and that any information you provide is encrypted Each physician is listed with their overall patient rating on all search and profile pages. Like the subtalar joint, it is a triplanar joint producing simultaneous movements across longitudinal, vertical and horizontal axis (supination/pronation, inversion/eversion). Running after talonavicular fusion is often impaired, shortened by concentrated pain and tense, overworked and neighboring ligaments. Recovery from Calcaneocuboid Joint Arthrodesis: The total recovery time for calcaneocuboid joint arthrodesis is eight to 12 weeks. Sterility The joint is integral to several types of foot movement. Subperiosteal dissection was carried out over the calcaneocuboid joint. Lateral column lengthening for acquired adult flatfoot deformity caused by posterior tibial tendon dysfunction stage II: a retrospective comparison of calcaneus osteotomy with calcaneocuboid distraction arthrodesis. 2010 Jul-Aug;49(4):380-4. doi: 10.1053/j.jfas.2010.04.023. HHS Vulnerability Disclosure, Help A calcaneocuboid fusion fuses together the calcaneus and cuboid bones of the hindfoot. INDIVIDUALLY PACKAGED Compression Screws are delivered in STERILE, cylindrical cases enclosing a series of capped sleeves. JavaScript is disabled. 2007. In some cases, general anesthesia may be used. Calcaneocuboid fusion - The hindfoot consists of four bones and three joints. Fix the bridge plate, using a minimum of three screws both proximally (calcaneum) and distally (fourth metatarsal). The dorsal calcaneocuboid ligament attaches to the anterolateral calcaneus (lateral to the bifurcate ligament) and to the dorsolateral cuboid. After they are finished, your surgeon will close your incisions with sutures or staples. Using custom orthotics, walking aids, or foot braces are also alternatives. Disclaimer. This procedure can be technically challenging. Please arrange for someone to take you home and look in on you in the first few days. Management of the rigid arthritic flatfoot in adults: triple arthrodesis. (for 8mm void) by 40mm in length. It causes the bones to become one solid bone, and it can lessen your pain. Abstract Background: The traditional fixation for a calcaneocuboid (CC) arthrodesis in triple arthrodesis is with a 6.5-mm cancellous screw. You have solved my problem. 2001 Mar;6(1):95-119. doi: 10.1016/s1083-7515(03)00083-4. 115 Memphis, TN 38119, Available in flowable, formable putty and crunch in syringe, Donor recovery and screening performed according to AATB and FDA guidelines, Crunch consists of DBM putty & cortical cancellous bone chips, Moldable, sterile, demineralized/compressive bone matrix, Cut and molded as needed, sponge-like fit and fill capabilities, Natural porous scaffold encourages osteoconductivity and promotes vascularization and stimulates new bone growth, Add bone marrow aspirate or platelet rich plasma to create a composite graft. Background: Isolated subtalar arthrodesis is generally successful, with reported fusion rates of 84% to 100%. You wont be able to move it anymore. Joint fusion surgery can be done on many different joints, such as your: Spine Ankles. A gastrocnemius releasemay need to be performed in cases with postoperative gastrocnemius contracture. 89 (9): 1247-8. Contour the plate to fit the cuboid anatomy. Therefore, the cuboid length must be maintained. Plates feature an Oblong Compression Slot option. Graduated from ENSAT (national agronomic school of Toulouse) in plant sciences in 2018, I pursued a CIFRE doctorate under contract with SunAgri and INRAE in Avignon between 2019 and 2022. 28285 Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) Internal Fixation 27814 Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, . The non-adherent antibacterial dressing is applied as a first layer. WebMD does not provide medical advice, diagnosis or treatment. (2007) The Journal of bone and joint surgery. The articular surfaces of the two bones are relatively flat with some irregular undulations, which seem to suggest movement limited to a single rotation and some translation. Extra side and posterior cushion padding are added. The long plantar ligament lies superficial to the short plantar ligament. Once youve had anesthesia, your doctor will make an incision (cut) in your skin. It fuses together two bones, the talus and the navicular bone hence talonavicular fusion. The talonavicular joint is the most anterior part of a more complex joint, the talocalcaneonavicular (TCN) joint (Fig. Change location The midtarsal locking system and load transmission through the transverse midtarsal joints is quite complicated and has been described by several authors [ 15 - 17 ]. This type of surgery is performed under general anesthesia. 4. Fracture fragments are debrided and mobilized with a dental pick or Freer elevator. Epub 2022 Mar 5. An official website of the United States government. You should anticipate at least a 12-week period of convalescence at home before you are able to resume your normal activities. The patient should be counseled to keep the leg on a cushion and elevated. SAL of 10-6 designates the possibility of finding an unsterile product will be 1 in a million. While seated, the foot should be on a cushion and elevated, but if badly swollen, the patient must be supine since elevating the foot while seated decreases swelling less effectively. 2022 Oct;48(5):4043-4051. doi: 10.1007/s00068-022-01923-0. HHS Vulnerability Disclosure, Help Check for errors and try again. Procedure. government site. This surgical procedure helps to create an arch in the foot. In some cases fusion of the bones in your midfoot may ease your pain and aid your mobility. You will begin to move the ankle joint and toes. Accessibility [Reconstructions after inveterated fractures and dislocations of the foot]. After lateral column lengthening with calcaneocuboid fusion, 48% of talonavicular and 70% of subtalar joint range of motion were preserved. Kafka RM, Aveytua IL, Choi PJ, DiLandro AC, Tubbs RS, Loukas M, Mintz DN, Baidya R, Kumar S, Sangari SK, Mtui EP, D'Antoni AV. The talus, calcaneus, cuboid, and navicular bones are separated by cartilage and create the talocalcaneal, talonavicular, and calcaneocuboid joints.