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Subtalar joint arthrodesis.

Alan R Catanzariti1, Robert W Mendicino, Karl R Saltrick

  • 1Division of Foot and Ankle Surgery, Western Pennsylvania Hospital, Pittsburgh, PA 15224, USA.

Journal of the American Podiatric Medical Association
|January 22, 2005
PubMed
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Isolated subtalar joint arthrodesis effectively treats rearfoot pain and deformity. While complications may be slightly more common than previously reported, most patients are satisfied and would repeat the procedure.

Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Podiatric Medicine

Background:

  • Subtalar joint arthrodesis is a surgical procedure to fuse the talus and calcaneus bones.
  • It is indicated for various conditions causing rearfoot pain and deformity.
  • Previous reports suggest varying complication rates and patient satisfaction.

Purpose of the Study:

  • To evaluate the effectiveness of isolated subtalar joint arthrodesis.
  • To assess patient satisfaction and complication rates.
  • To determine if preoperative diagnosis correlates with postoperative outcomes.

Main Methods:

  • Retrospective review of 40 patients undergoing isolated subtalar joint arthrodesis.
  • Analysis of preoperative diagnoses, including posterior tibial tendon dysfunction, arthritis, and coalition.

Related Experiment Videos

  • Postoperative assessment via subjective questionnaires and complication tracking.

    • Main Results:

    • 32 patients (80%) were satisfied, 4 (10%) satisfied with reservations, and 4 (10%) dissatisfied.
    • 83% of patients would undergo the procedure again.
    • Minor complication rate was 55%, major complication rate was 12.5%.

    Conclusions:

    • Isolated subtalar joint arthrodesis is an effective treatment for rearfoot pain and deformity.
    • Patient satisfaction is high, with a significant majority willing to repeat the procedure.
    • Complication rates may be slightly higher than previously reported, with no clear correlation between diagnosis and outcome.