Tarsal coalition is an uncommon finding in children and adolescent age groups. Its occurrence in adulthood is even rarer. Though the majority of the coalitions are asymptomatic, pain, and fatigue in 25% of coalitions become indicators for aggressive treatment. Surgical procedures are undertaken only at the failure of conservative management. Triple arthrodesis has been advocated earlier but causes substantial stresses at the ankle joint. Hence, a limited arthrodesis aiming at the involved joint spares loading of the ankle and calcaneocuboid joints. More so, hindfoot valgus is a common component noted in tarsal coalitions and needs to be addressed along with isolated arthrodesis to achieve overall favorable outcomes. We present a series of tarsal coalitions in adults who presented with different symptoms, managed with corrective arthrodesis, and simultaneous treatment of associated pes planus deformity.
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