ABSTRACT
PURPOSE: Describe the surgical technique of talocalcaneal coalition resection using live CT navigation. METHODS: A ten-year-old female with left talocalcaneal coalition hindfoot pain refractory to conservative management underwent surgical coalition resection using live CT navigation. The procedure and discussion of this technique is described in detail. RESULTS: With minimal radiation exposure to the patient, CT navigation for this complex talocalcaneal coalition was both helpful and potentially timesaving by allowing immediate localization and guided resection of the coalition. CONCLUSION: In the case of a complex subtalar coalition resection, CT navigation poses minimal patient radiation exposure and allows immediate localization and guided resection of the coalition. LEVEL OF EVIDENCE: Level V.