[Resection of the subtalar joint--long-term results]

In the years 1965-1985 212 patients were treated at the I. Orthopaedic Clinic in Brno by means of the resection sub talo. 100 patients with 105 operations were checked up on average 13 years after operation. The average age in the time of operation was 27. Indicated for operation were in 54 cases patients with neurologic deformity of the foot, in 51 cases patients with a local deformity. Reported were 65 good, 25 fair and 15 poor results. Residual deformity occurred in 12 patients and severe instability of the leg also in 12 cases. Eight patients suffered from moderate arthrosis of the joint ankle, three patients had severe arthrosis. Pseudoarthrosis in the area of resection was found in 5 cases. Prior to operation it is inevitable to examine the stability of the talus and anterior subluxation of the ankle joint. In cases of the instability of the talus ankle arthrodesis is indicated. The authors put emphasis on the release of soft tissues prior to or during the operation. The work proves longterm usefulness of the resection sub talo.