PMID: 9418639Jan 7, 1998Paper

Subtalar arthrodesis for posterior tibial tendon dysfunction and pes planus

Clinical Orthopaedics and Related Research
H B Kitaoka, G L Patzer

Abstract

Twenty-one patients (21 feet in 18 women and three men) who were treated with subtalar arthrodesis for posterior tibial tendon dysfunction and pes planus at an average age of 60 years (range, 44-75 years) were studied. Mean duration of symptoms was 3 years. All had realignment of the calcaneus in relation to the talus, and all had screw fixation without supplemental bone graft. Average followup was 3 years (range, 2-5 years). All patients had successful union. The tibiocalcaneal angle averaged 13 degrees +/- 3.1 degrees before operation and 6 degrees +/- 1.9 degrees after operation. The lateral talometatarsal, lateral talocalcaneal, and lateral tibiotalar angles all improved significantly. Arch height (navicular height) increase averaged 5 +/- 2.7 mm. Arch length (calcaneal-metatarsal) decrease averaged 4 +/- 3.2 mm. One complication occurred: delayed wound healing (excellent result). Clinical results were excellent in eight feet, good in eight, fair in four, and poor in one. Patients were satisfied with the operative result in 16 feet, satisfied with reservations in four, and dissatisfied with the operative results in one. Subtalar arthrodesis effectively corrects deformity, does not require bone graft, has a high union rate, ...Continue Reading

Citations

Jun 18, 2010·International Orthopaedics·Pierre JoveniauxEmile Dehoux
Jun 2, 2001·Foot and Ankle Clinics·I P Kelly, M E Easley
Jan 31, 2004·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Bruce LehnertGeorge E Sims
Mar 16, 2005·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Michael S LeeUNKNOWN Clinical Practice Guideline Adult Flatfoot Panel
Jul 17, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Michael E GrahamRyan J Rogers

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