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Subtalar Distraction Arthrodesis.

Norman Espinosa1, Elena Vacas1

  • 1Institute for Foot and Ankle Reconstruction, Kappelistrasse 7, Zurich 8002, Switzerland.

Foot and Ankle Clinics
|August 12, 2018
PubMed
Summary
This summary is machine-generated.

Assessing talar declination angle is key for subtalar joint deformity. Surgical techniques include posterior approach, Achilles tendon lengthening, talus elevation with bone graft, and screw fixation for optimal outcomes.

Keywords:
Achilles tendon lengtheningStructural bone graftSubtalar distraction arthrodesisSubtalar joint

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Area of Science:

  • Orthopedic surgery
  • Biomechanics
  • Podiatric medicine

Background:

  • The subtalar joint's anatomy and biomechanics can be significantly altered.
  • Accurate assessment of subtalar joint deformities is crucial for effective treatment.

Purpose of the Study:

  • To highlight the importance of assessing the talar declination angle for subtalar joint deformity.
  • To outline surgical techniques for correcting subtalar joint abnormalities.

Main Methods:

  • Utilizing a straight posterior approach for subtalar joint access.
  • Employing liberal z-shaped Achilles tendon lengthening.
  • Using structural bone grafting for talus elevation.
  • Securing the construct with positioning screws.

Main Results:

  • The described surgical approach allows for effective correction of talar declination.
  • Bone grafting and screw fixation provide stability and facilitate talus elevation.
  • Achilles tendon lengthening addresses associated soft tissue contractures.

Conclusions:

  • Accurate assessment of talar declination angle is vital for diagnosing subtalar joint deformities.
  • A combined surgical strategy involving posterior approach, tendon lengthening, bone grafting, and screw fixation offers a viable solution for complex subtalar joint issues.