Subtalar Arthroereisis for Posterior Tibial Tendon Dysfunction: A Preliminary Report

Abstract

Subtalar arthroereisis by means of implantation of a Kalix endorthesis in the sinus tarsi, with prior correction of the deformity and tendon repair, offers an alternative to bone operations such as calcaneal osteotomies, lengthening the external column, or arthodesis in patients with stage II posterior tibial dysfunction.

Combined Modified Kidner Procedure With Subtalar Arthroereisis for the Correction of Painful Accessory Navicular Associated With Planovalgus Deformity

“…16,27,28 In the absence of advanced degeneration, adult flexible flatfeet have also been recently treated with arthroereisis successfully with growing support. [16][17][18][19][20][21][22] Some authors have also advocated using arthroereisis to protect medial soft tissue reconstructions. 16,17,20,21 Our recent report is the first to describe outcomes of the combined procedure.…”

“…15,29 Titanium implants have the highest reported success rates, but carry the risk of needing to be removed. 16,17,[19][20][21][22]28 Future directions should include larger studies of the combine procedure as well as studies comparing various materials. We believe that if the bioabsorbable implants prove to be effective, they may alleviate concerns of needing implant removal.…”

“…More recently, it has gained support for use in the adult population. [16][17][18][19][20][21][22][23] Furthermore, it has also been used as an adjunct procedure in cases of medial soft tissue reconstruction to help protect the repair by internally "splinting" the foot. 16,17,20,21 In this article, we will describe our technique for performing a combined Kidner and subtalar arthroereisis for patients with a symptomatic accessory navicular recalcitrant to nonoperative treatment with an associated planovalgus deformity.…”

La chirurgie du couple de torsion du pied dans la polyarthrite rhumatoïde

“…En revanche, la ténosynovectomie du tendon du muscle tibial postérieur constitue une bonne indication, à condition que les déformations soient réduc-tibles. En général, il est néanmoins nécessaire de pratiquer un temps osseux pour obtenir un bon résultat : l'arthrorise constitue une alternative intéressante [7] (Fig. 2A,B).…”

Effect of subtalar arthroereisis on the tibiotalar contact characteristics in a cadaveric flatfoot model

“…In recent years, clinical studies reported radiographic improvement of foot alignment and pain relief with a subtalar arthroereisis (STA) for the treatment of AAFD (Viladot et al, 2003;Needleman, 2006). Although these findings support the use of a STA, its effect on tibio-talar contact characteristics has not been evaluated in a clinical or cadaver model of a flatfoot.…”