Subtalar Joint Arthrodesis

Roster, Brent; Kreulen, Christopher; Giza, Eric

doi:10.1016/j.fcl.2015.02.003

Cited by 24 publications

(10 citation statements)

References 37 publications

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“…28,48 In such patients, operative hindfoot and ankle arthrodesis procedures are indicated for pain and instability as well as for severe deformity and malalignment of the involved joints. Traditional operative options include tibiotalar arthrodesis, 1 tibiotalocalcaneal (TTC) fusion, 3 subtalar arthrodesis, 12,47 and triple arthrodesis. 41…”

Section: Introductionmentioning

confidence: 99%

“…Traditional operative options include tibiotalar arthrodesis, 1 tibiotalocalcaneal (TTC) fusion, 3 subtalar arthrodesis, 12,47 and triple arthrodesis. 41 Each procedure can result in pain relief, deformity correction, and improved function.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, fusion in a malaligned position confers significant functional consequences. 47 Various studies have examined postoperative outcomes of these procedures using validated questionnaires, including the 36-Item Short Form Health Survey (SF-36), the American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot Score, and the Musculoskeletal Functional Assessment; visual analog scale (VAS) for pain; subjective measures of pain and satisfaction; and rates of return to daily activity and return to work. 2,[5][6][7][8][9][10]13,18,20,21,24,31,[33][34][35]37,38,41,42,44,46,52,54 However, to our knowledge, no studies have thus far assessed patient-reported outcomes of these procedures using computer adaptive tests as with the Patient-Reported Outcome Measurement Information System (PROMIS).…”

Section: Introductionmentioning

confidence: 99%

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Evaluating Prospective Patient-Reported Pain and Function Outcomes After Ankle and Hindfoot Arthrodesis

Mehta

Sherman

et al. 2021

Foot & Ankle Orthopaedics

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Background: Hindfoot and ankle fusions are mechanically limiting procedures for patients. However, patient-reported outcomes of these procedures have not been well studied. This study assessed outcomes of hindfoot and ankle fusions by using Patient-Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) and Pain Interference (PI) Computer Adaptive Tests (CATs). Methods: Between 2014 and 2018, 102 patients were prospectively enrolled after presenting to a tertiary care facility for ankle and hindfoot fusions, including tibiotalar, tibiotalocalcaneal, subtalar, and triple arthrodeses. Study participants completed preoperative and 12-month postoperative PF and PI CATs. The differences between mean 12-month postoperative and preoperative PROMIS PF and PI T scores were analyzed with paired t tests. The relationship between the 12-month PF and PI differences for the overall sample and patient factors was examined using multiple regression modeling. Results: The sample had mean age of 57.69 years; 48% were male, and 55% were obese. Patients who underwent ankle and hindfoot arthrodesis had statistically significant improvements from preoperative to 12 months postoperative in mean PF (36.26±7.85 vs 39.38±6.46, P = .03) and PI (61.07±7.75 vs 56.62±9.81, P = .02). Triple arthrodesis saw the greatest increases in physical function (▵PF = 7.22±7.31, P = .01) and reductions in pain (▵PI = –9.17±8.31, P = .01), achieving minimal clinically important difference (MCID). Patients who underwent tibiotalar fusion had significant improvement in physical function (▵PF = 4.18±5.68, P = .04) and pain reduction that approached statistical significance (▵PI = –6.24±8.50, P = .09), achieving MCID. Older age (≥60 years ) was associated with greater improvements in PF ( β = 0.20, P = .07) and PI ( β = –0.29, P = .04). Preoperative PF and PI T scores were significantly associated with the 12-month change in PF and PI T scores, respectively ( β = –0.74, P < .01; β = –0.61, P < .01). Conclusion: Hindfoot and ankle fusions are procedures with favorable patient outcomes leading to increased physical function and decreased pain at 12 months postoperation relative to preoperation. Level of Evidence: Level II, prospective comparative study.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluating Prospective Patient-Reported Pain and Function Outcomes After Ankle and Hindfoot Arthrodesis

Mehta

Sherman

et al. 2021

Foot & Ankle Orthopaedics

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“…Investigations include standing anteroposterior and lateral radiographs of the foot and ankle and, on occasion, a calcaneal axial view to assess hindfoot alignment. Advanced 3-dimensional imaging such as computed tomography (CT) or magnetic resonance imaging (MRI) may be required for more complex pathological conditions 5 . An image-guided local anesthetic injection can also assist in the diagnosis 5 .…”

mentioning

confidence: 99%

“…Advanced 3-dimensional imaging such as computed tomography (CT) or magnetic resonance imaging (MRI) may be required for more complex pathological conditions 5 . An image-guided local anesthetic injection can also assist in the diagnosis 5 .…”

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confidence: 99%

Isolated Arthroscopic-Assisted Subtalar Fusion

Loewen

Marwan

et al. 2021

JBJS Reviews

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Background:The subtalar joint has a complex anatomic function that includes inversion and eversion of the hindfoot, assisting in walking on uneven surfaces. Arthritis is the most common pathological condition affecting this joint and can require fusion. The surgery can be performed open or with arthroscopic assistance. This systematic review assesses articles written on the safety and efficacy of isolated arthroscopic subtalar fusion.Methods:Using MEDLINE and Embase, we systematically reviewed articles published before May 21, 2020.Results:Of 395 articles, 17 on a total of 395 patients (409 operations) were included in the review. The average duration of follow-up was 40.0 months (range, 3 to 105 months). Radiographic evidence of union was reported for 95.8% of cases at an average of 11.9 weeks (range, 6 to 56 weeks) postoperatively. Delayed union was reported in 1.0% of patients and nonunion, in 4.3% of patients. In the articles reporting patient satisfaction, including pain relief, 95.4% of patients had positive outcomes. Postoperative complications were reported in 64 patients (16.2%), including 37 (9.4%) with symptomatic implants, 11 (2.8%) with dysesthesia or neuropathic pain, and 3 (0.8%) with postoperative infection.Conclusions:Arthroscopic subtalar fusion is a safe and effective alternative to open subtalar arthrodesis, with high patient satisfaction rates, high union rates at similar follow-up intervals, and low complication rates. The aim of future research should be to determine the ideal cases for this approach as well as the most efficient arthroscopic surgical technique and postoperative rehabilitation to optimize function and union as seen on radiographs.Level of Evidence:Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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Arthroscopic Subtalar Arthrodesis by Posterior Approach

Lijoi¹

2020

Ankle Joint Arthroscopy

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Subtalar Joint Arthrodesis

Cited by 24 publications

References 37 publications

Evaluating Prospective Patient-Reported Pain and Function Outcomes After Ankle and Hindfoot Arthrodesis

Evaluating Prospective Patient-Reported Pain and Function Outcomes After Ankle and Hindfoot Arthrodesis

Isolated Arthroscopic-Assisted Subtalar Fusion

Arthroscopic Subtalar Arthrodesis by Posterior Approach

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