Subtalar Joint Arthrodesis

López, Ricardo Aguilar; Singh, Tarika; Banga, Samantha; Hasan, Nafisa

doi:10.1016/j.cpm.2011.09.003

Cited by 34 publications

(10 citation statements)

References 17 publications

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“…With the failure of conservative measures to achieve results satisfactory to the patient, operative methods are recommended. These include soft tissue procedures, hindfoot and midfoot osteotomies and arthrodeses, or a combination of these (37)(38)(39)(40)(41)(42)(43)(44)(45). These procedures often involve extensive surgical dissection, a long recovery period, and prolonged immobilization during the early healing phase.…”

Section: Discussionmentioning

confidence: 99%

Extraosseous Talotarsal Stabilization Using HyProCure®: Preliminary Clinical Outcomes of a Prospective Case Series

Bresnahan

Chariton

Vedpathak

2013

The Journal of Foot and Ankle Surgery

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Section: Discussionmentioning

confidence: 99%

Extraosseous Talotarsal Stabilization Using HyProCure®: Preliminary Clinical Outcomes of a Prospective Case Series

Bresnahan

Chariton

Vedpathak

2013

The Journal of Foot and Ankle Surgery

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“…Subtalar arthrodesis has been considered the most successful method for treating calcaneal malunion, traumatic subtalar arthritis, primary OA, rheumatoid arthritis, and hindfoot deformity, with low incidence of complications. The operative techniques of subtalar arthrodesis are as follows: (i) Selection of incision: When performing in situ arthrodesis, selecting the sinus tarsi incision; when performing distraction arthrodesis, selecting the lateral malleolus incision. (ii) Exposure of joint space: The lamina spreader is inserted into the joint space and then gradually enlarged to allow better visualization of the joint space; if it is difficult to enter the subtalar joint space, positioning with the help of C‐arm fluoroscopy is necessary.…”

Section: Discussionmentioning

confidence: 99%

Application of 3D‐printed Customized Guides in Subtalar Joint Arthrodesis

Duan

Fan

Wang

et al. 2019

Orthopaedic Surgery

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Objective To explore the feasibility of 3D printed customized guides assisting the precise drilling of Kirschner wires in subtalar joint arthrodesis. Methods We retrospectively reviewed the data of 29 patients (30 subtalar joints) who underwent subtalar joint arthrodesis between 1 July 2013 and 31 December 2017. The customized guides were designed on a full‐scale 3D polylactic acid model made from computed tomography (CT) data of patients by Model Intestinal Microflora in Computer Simulation (MIMICS) software, which were manufactured by 3D printing technology. A total of 14 joints used customized guides (experimental group); the remained 16 joints used the traditional method (control group). The time of drilling the Kirschner wires to the correct position, the time of subtalar fusion, American Orthopaedic Foot & Ankle Society (AOFAS) scores, and complications were evaluated in both groups. Results All customized guides were successfully manufactured. In the experimental group, it took 2.1 ± 0.7 min to drill the Kirschner wire to the satisfactory position, and 2 cases needed to be re‐drilled; in the control group, it took 4.6 ± 1.9 min to drill the Kirschner wire to the satisfactory position (P < 0.05), and 8 cases needed to be re‐drilled. No serious complications occurred in both groups during and after the surgery. Postoperative radiographic fusion was confirmed in all cases. No significant difference was observed in the fusion time and AOFAS scores 1 year postoperatively between the two groups (P > 0.05). Conclusion It is safe to apply 3D‐printed customized guides for subtalar joint arthrodesis, which can assist the accurate drilling of Kirschner wires into the appropriate position according to the preoperative plan, and reduce the operation time as well as intraoperative radiation.

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“…Subtalar arthrodesis may be performed as a primary procedure for subtalar arthrosis, usually secondary to calcaneal fracture, rheumatoid arthritis, primary osteoarthritis, or a non-resectable talocalcaneal coalition. Advantages of this procedure include preservation of hindfoot motion and lower risk of arthritis in adjacent joints [39]. During the procedure, cartilage and subchondral bone are removed from the talar and calcaneal articular surfaces; hindfoot alignment can be corrected by using wedge resection or graft application.…”

Section: Arthrodesismentioning

confidence: 99%

Imaging and Treatment of Posttraumatic Ankle and Hindfoot Osteoarthritis

Gorbachova

Melenevsky

Latt

et al. 2021

JCM

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Posttraumatic osteoarthritis of the ankle and hindfoot is a common and frequently debilitating disorder. 70% to 90% of ankle osteoarthritis is related to prior trauma that encompasses a spectrum of disorders including fractures and ligamentous injuries that either disrupt the articular surface or result in instability of the joint. In addition to clinical evaluation, imaging plays a substantial role in the treatment planning of posttraumatic ankle and hindfoot osteoarthritis. Imaging evaluation must be tailored to specific clinical scenarios and includes weight bearing radiography that utilizes standard and specialty views, computed tomography which can be performed with a standard or a weight bearing technique, magnetic resonance imaging, and ultrasound evaluation. This review article aims to familiarize the reader with treatment rationale, to provide a brief review of surgical techniques and to illustrate expected imaging appearances of common operative procedures performed in the setting of posttraumatic ankle and hindfoot osteoarthritis, such as joint-preserving procedures, ankle fusion, subtalar fusion, tibiotalarcalcaneal fusion and ankle arthroplasty. Preoperative findings will be discussed along with the expected postoperative appearance of various procedures in order to improve detection of their complications on imaging and to provide optimal patient care.

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Subtalar Joint Arthrodesis

Cited by 34 publications

References 17 publications

Extraosseous Talotarsal Stabilization Using HyProCure®: Preliminary Clinical Outcomes of a Prospective Case Series

Extraosseous Talotarsal Stabilization Using HyProCure®: Preliminary Clinical Outcomes of a Prospective Case Series

Application of 3D‐printed Customized Guides in Subtalar Joint Arthrodesis

Imaging and Treatment of Posttraumatic Ankle and Hindfoot Osteoarthritis

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