Isolated Subtalar Arthrodesis

JBJS Essential Surgical Techniques
Paulo N FerraoAndrew Strydom

Abstract

An isolated subtalar arthrodesis through a sinus tarsi approach with cannulated screw fixation is safe, reproducible, and effective for specific hindfoot pathology in adults. Perform a comprehensive clinical and radiographic assessment. Position the patient supine on the operating table with a bump under the ipsilateral hip, to internally rotate the involved leg. Mark a longitudinal incision from just inferior to the tip of the lateral malleolus and extending toward the base of the 4th metatarsal. Expose the subtalar joint by reflecting the extensor digitorum brevis and protecting the peroneal tendons. Meticulously prepare the subtalar joint using osteotomes and curets down to healthy bleeding subchondral bone. Reduce the subtalar joint into 5° of valgus and fix it with cannulated screws. Meticulously close the wound in layers and place the lower leg in a well-padded plaster back slab with the ankle in a neutral position. The operatively treated leg is kept immobilized and non-weight-bearing for the first 6 weeks. Numerous retrospective articles have reported high fusion rates and good functional outcomes after isolated subtalar arthrodesis, for all indications.

References

Feb 1, 1997·The Journal of Bone and Joint Surgery. American Volume·D J AstionS Kenneally
Sep 5, 1998·Foot & Ankle International·R A MannG A Horton
May 20, 2000·The Journal of Bone and Joint Surgery. American Volume·M E EasleyM S Myerson
Jun 1, 2000·Foot & Ankle International·A S FlemisterA K Walling
Nov 1, 2000·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·T Floyd, D Ohnmeiss
Nov 27, 2002·Foot & Ankle International·Susan N IshikawaE Greer Richardson
Dec 3, 2004·Foot & Ankle International·Andrew HaskellRoger Mann
Jan 11, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Justin Greisberg, Bruce Sangeorzan
Mar 21, 2007·Foot & Ankle International·Mark B DaviesTerry S Saxby
Jan 14, 2009·Foot & Ankle International·Christian DieziPatrick Vienne
Aug 22, 2009·AJR. American Journal of Roentgenology·Andrea Donovan, Zehava Sadka Rosenberg
Feb 16, 2013·Foot & Ankle International·James R JastiferRobert R Gorman
Mar 5, 2014·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Roya MirmiranMichael Nielsen
May 7, 2014·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Nikiforos Pandelis SaragasBarry F Jacobson
Sep 25, 2014·Foot & Ankle International·Mario Herrera-PérezJose Luis Pais-Brito
Nov 20, 2014·Journal of Orthopaedic Surgery and Research·Cheng-Song YuanKang-Lai Tang
Nov 28, 2014·Acta orthopaedica et traumatologica turcica·Umut YavuzYavuz S Kabukçuoğlu
Apr 24, 2015·Foot & Ankle International·Diego H ZanolliMark E Easley
Jun 2, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Matthew J HentgesBradley M Lamm
Jun 5, 2015·Foot and Ankle Clinics·Ettore VulcanoMark S Myerson
Jun 5, 2015·Foot and Ankle Clinics·Brent RosterEric Giza
Jul 27, 2015·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Giovanni RomeoFrancesco Malerba
Aug 5, 2015·Journal of the American Podiatric Medical Association·Xiangyang XuBaofu Wei

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Citations

Aug 21, 2021·JBJS Reviews·Allison LoewenGregory K Berry

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