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Related Experiment Videos

Concurrent ankle and subtalar joint arthrodesis

R A Buratti1, J D Johnson, D Buratti

  • 1Podiatric Residency Training Program, Valley Hospital Medical Center, Van Nuys, California.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|May 1, 1994
PubMed
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This study introduces a novel surgical technique for simultaneously fusing the subtalar and ankle joints. The innovative method achieved excellent outcomes in five patients, demonstrating its potential for effective joint arthrodesis.

Area of Science:

  • Orthopedic Surgery
  • Biomechanics
  • Surgical Innovation

Background:

  • Simultaneous arthrodesis of the subtalar and ankle joints presents surgical challenges.
  • Existing techniques may not offer optimal stability or fusion rates.

Purpose of the Study:

  • To present a new surgical technique for simultaneous arthrodesis of the subtalar and ankle joints.
  • To evaluate the preliminary outcomes and feasibility of this novel approach.

Main Methods:

  • A cannulated screw is inserted from the plantar calcaneus, traversing both the subtalar and ankle joints.
  • An inverted strut graft is utilized for anterior reinforcement of the ankle component.
  • The technique was applied to five patients undergoing simultaneous joint fusion.

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Main Results:

  • Excellent overall results were observed in the five evaluated cases.
  • Patient follow-up ranged from 4 to 54 months (average 26 months).
  • One instance of calcaneal-talar-tibial screw fracture occurred at 13 months postoperatively.

Conclusions:

  • The described technique offers a promising method for simultaneous subtalar and ankle joint arthrodesis.
  • Preliminary results suggest good efficacy, despite a noted hardware complication in one case.
  • Further investigation with larger cohorts is warranted to confirm long-term outcomes.