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Published on: June 7, 2018
Open Technique for In Situ Subtalar Fusion
Stephan H Wirth1, Stefan M Zimmermann1, Arnd F Viehöfer1
1Department of Orthopedics, Balgrist University Hospital, Forchstrasse 340, Zürich 8008, Switzerland.
Subtalar joint fusion is a surgical option for hindfoot degeneration when conservative treatments fail. This article details an in situ arthrodesis technique, emphasizing biomechanical considerations and pre-operative evaluation.
Area of Science:
- Orthopedic Surgery
- Biomechanics
- Podiatric Medicine
Background:
- The subtalar joint is crucial for hindfoot accommodation during gait.
- Degeneration can result from trauma, inflammation, or biomechanical issues.
- Subtalar fusion is indicated after failed conservative management.
Purpose of the Study:
- To describe an in situ arthrodesis technique for the subtalar joint.
- To highlight biomechanical principles relevant to subtalar fusion.
- To outline essential preoperative clinical and radiological assessments.
Main Methods:
- Detailed description of the in situ arthrodesis surgical technique.
- Emphasis on patient selection and preoperative work-up.
- Discussion of biomechanical factors influencing surgical outcomes.
Main Results:
- The article presents a specific surgical technique for subtalar joint fusion.
- It underscores the importance of meticulous preoperative evaluation.
- Focuses on achieving solid arthrodesis with attention to biomechanics.
Conclusions:
- In situ subtalar arthrodesis is a viable surgical option for hindfoot degeneration.
- Thorough clinical and radiographic assessment is critical for surgical indication.
- Understanding biomechanical principles enhances surgical success in subtalar fusion.
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