Triple Fusion in Children and Adolescents.

Most foot deformities affecting children and adolescents can be managed nonoperatively or with joint-preserving procedures. Severe fixed deformities often require more comprehensive treatment, and triple fusion (arthrodesis) remains an option in these situations. Surgical decision-making in electing for a triple fusion in this age group and in these rare conditions can be difficult. The primary goals of treatment are elimination of pain, correction of the deformity, and maintenance of a plantigrade foot. This review aims to outline those situations where triple fusion is warranted and describe our technique. Key Concepts•Although uncommon and reserved for severe deformity, triple fusion remains a powerful procedure with satisfactory long-term outcomes.•Fusion position is the key technical determinant of a successful outcome.•Robust Internal fixation reduces the rate of nonunion.•Foot growth is maintained in most children who have triple fusion as young as 8 years of age.