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Carol C. Hasler University Children’s Hospital, Basel, Switzerland

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Daniel Studer University Children’s Hospital, Basel, Switzerland

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should be discussed depending on the level of suffering and functional impairment. Repeated ’giving way’ may cause cartilaginous lesions and chronic hyperpression with the risk of the later development of patellofemoral osteoarthritis. The goal of surgery

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Pierre-Louis Docquier Cliniques universitaires Saint-Luc, Brussels, Belgium

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Laurent Paul 3D Side, Belgium

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Khanh TranDuy 3D Side, Belgium

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technique is triple arthrodesis (talocalcaneal, talonavicular and calcaneocuboid), but long-term follow-up has shown onset of secondary tibiotarsal osteoarthritis in 58% to 77% of cases. 21 , 22 An alternative method consists of resecting the synostosis

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