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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Subtalar joint arthrodesis
Ramon Lopez1, Tarika Singh, Samantha Banga
1Hahnemann University Hospital, Drexel University College of Medicine, Philadelphia, PA, USA.
Clinics in Podiatric Medicine and Surgery
|January 17, 2012
Summary
Isolated subtalar joint arthrodesis is a popular procedure that preserves motion and avoids arthritis in adjacent joints. This technique for talocalcaneal fusion offers benefits over other fusion methods.
Area of Science:
- Orthopedic Surgery
- Podiatric Surgery
- Foot and Ankle Reconstruction
Background:
- Isolated subtalar joint arthrodesis is increasingly utilized.
- This procedure preserves rearfoot motion.
- It does not elevate the risk of adjacent joint arthritis.
Purpose of the Study:
- To provide an in-depth review of isolated talocalcaneal fusions.
- To discuss the anatomy, biomechanics, and clinical aspects of the subtalar joint.
- To outline conservative treatment, surgical techniques, and postoperative care.
Main Methods:
- Review of anatomical and biomechanical principles of the subtalar joint.
- Discussion of clinical presentation and diagnostic imaging.
- Description of operative techniques and postoperative management strategies.
Main Results:
- Isolated subtalar fusion preserves motion and reduces adjacent joint arthritis risk.
- The procedure is not overly complex.
- It lowers the incidence of midtarsal joint nonunion and malunion.
Conclusions:
- Isolated subtalar joint arthrodesis is a viable and beneficial procedure.
- Comprehensive understanding of anatomy, biomechanics, and surgical technique is crucial.
- This approach offers advantages in managing subtalar joint pathology.
