Subtalar arthroscopic arthrodesis: Technique and outcomes

Vilá-Rico, Jesús; Mellado-Romero, María Ángela; Bravo, Beatriz; Jiménez-Díaz, V.; Ojeda-Thies, Cristina

doi:10.1016/j.fas.2015.11.007

Cited by 14 publications

(12 citation statements)

References 35 publications

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“…One of the most unwelcome complications of arthrodesis is failure to achieve union and for this reason many surgeons prefer to use the open approach, to guarantee adequate debridement of all affected joint surfaces. However, problems involving the soft tissues can occur and infections are common after open surgery (10) .…”

Section: Discussionmentioning

confidence: 99%

“…In the study by Vilá-Rica et al (10) , arthroscopic subtalar arthrodesis was shown to achieve higher union rates without the need for supplementation by bone grafting and lower rates of complications than open techniques, in addition to being a safe and reliable procedure, providing that the surgical technique is followed rigorously. The AOFAS scores improved significantly in all patients and patient satisfaction was high, even among patients followed for more than 5 years.…”

Section: Discussionmentioning

confidence: 99%

“…It was described by W. Van Stockum in 1912 and popularized by W. E. Gallie in 1943 for treatment of fractures in which there is comminution of the calcaneus. The procedure is performed to relieve subtalar joint pain, especially in patients with posttraumatic osteoarthrosis after fractures of the calcaneus or talus, or in patients with subtalar primary osteoarthrosis for acquired flatfoot, congenital deformities (tarsal coalition), neuromuscular dysfunction, or inflammatory disease (4,5,(10)(11)(12) .…”

Section: Introductionmentioning

confidence: 99%

“…According to Vilá-Rico et al (10) , around 30% of patients will have a degree of pseudarthrosis and bone grafts are commonly used to improve the likelihood of union. Therefore, minimally invasive techniques such as arthroscopic subtalar arthrodesis improve on the results of traditional open methods, with the advantages of preserving the blood supply to the tarsus, reducing postoperative morbidity, and preserving proprioception.…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic subtalar arthrodesis – results and complications

et al. 2020

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Objective: The objective of this study is to evaluate the results and complications of the subtalar arthrodesis technique conducted via arthroscopy. Methods: Searches were run on PubMed/Medline and Google Scholar for publications dated from 2007 to 2020. Original articles were included that reported the results of at least one comparative postoperative scale. Methodological quality was assessed using the PRISMA tool. Union rate, complications, and the American Orthopedic Foot and Ankle Society (AOFAS) score were prioritized. Results: A total of 124 references were identified and, after application of the inclusion and exclusion criteria and the PRISMA tool, 9 articles were eligible. A total of 180 patients were analyzed, with mean postoperative follow-up of 18 months (± 6) and with before and after AOFAS scores varying from 44 to 79 with p<0.001, demonstrating statistical relevance with significant improvement of AOFAS scores during the postoperative period. Deformity correction, improvement of pain, and rates of union were good and there was clinical improvement according to postoperative AOFAS scores, with few complications. However, the heterogeneous nature of studies, withvariations in techniques and samples, prevents generalization of the findings. Conclusion: The results of arthroscopic surgery for subtalar arthrodesis are good and rates of complications are low, but there are stillfew studies with high evidence levels that demonstrate the efficacy of the technique, although preliminary results are encouraging. Level of Evidence I; Therapeutic Studies; Systematic Review.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Arthroscopic subtalar arthrodesis – results and complications

et al. 2020

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“…Orthopaedic Journal of Sports Medicine Meta-analysis of Arthroscopic Subtalar Arthrodesis Complications 3 arthroscopic techniques, as the majority of the literature regarding arthroscopic subtalar arthrodesis consists of small case series.Patient-reported outcome scores after arthroscopic subtalar arthrodesis have been consistently reported as excellent in the literature, regardless of patient positioning or portal placement 2,4,11,13,18,21,34. Amendola et al2 reported an improvement in the mean AOFAS score from 36 to 86 in a series of 11 arthroscopic subtalar fusion cases in the prone position with 2 posterior portals and a third…”

mentioning

confidence: 97%

Do Patient Positioning and Portal Placement for Arthroscopic Subtalar Arthrodesis Matter?

Shamrock

Amendola

Glass

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Arthroscopic subtalar arthrodesis was first described over 2 decades ago and originally performed in the lateral decubitus or supine position using anterolateral and posterolateral portals situated about the fibula. More recently, several authors have advocated for prone positioning utilizing posteromedial and posterolateral portals with an optional accessory lateral portal. To date, a comparison of these techniques has been limited. Purpose: To determine the effect of patient positioning and portal placement on complication rates after arthroscopic subtalar arthrodesis. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Patients were placed into 1 of 3 groups: the lateral group if they were positioned lateral or supine with lateral-based portals; the 2-portal prone group if they were positioned prone with posteromedial and posterolateral portals; or the 3-portal prone group if posteromedial, posterolateral, and accessory lateral portals were utilized in the prone position. Inverse variance–weighted fixed-effects models were used to evaluate pooled estimates. Results: A total of 20 studies examining 484 feet in 468 patients with a mean follow-up of 36.1 months were included for analysis. Overall, 8 studies examined patients in the prone position with 2 posterior portals (n = 111; 22.9%), 7 articles evaluated lateral portals (n = 182; 37.6%), and 5 studies examined patients in the prone position with 3 portals (n = 191; 39.5%). The total complication rate was similar ( P = .620) between the 2-portal prone (18.9%), 3-portal prone (17.8%), and lateral (17.6%) groups. There was no difference observed in the rate of complications secondary to portal placement ( P ≥ .334), rate of painful hardware ( P ≥ .497), and rate of repeat surgery ( P ≥ .304). The 2-portal prone group had a significantly higher rate of nonunion than the lateral group (8.1% vs 1.1%, respectively; P = .020) but not the 3-portal prone group (5.8%; P = .198). Conclusion: The current study demonstrated a higher rate of nonunion following arthroscopic subtalar arthrodesis with prone patient positioning using posteromedial and posterolateral portals without an accessory lateral portal.

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Surgical Techniques for Peritalar Osteoarthrosis: Talonavicular, Subtalar, Calcaneocuboid, and Midfoot

Sanhudo

Costa

2022

Foot and Ankle Disorders

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Subtalar arthroscopic arthrodesis: Technique and outcomes

Cited by 14 publications

References 35 publications

Arthroscopic subtalar arthrodesis – results and complications

Arthroscopic subtalar arthrodesis – results and complications

Do Patient Positioning and Portal Placement for Arthroscopic Subtalar Arthrodesis Matter?

Surgical Techniques for Peritalar Osteoarthrosis: Talonavicular, Subtalar, Calcaneocuboid, and Midfoot

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