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[Subtalar arthrodesis--minimal resection technique]

J Fellmann1, H Zollinger

  • 1Abteilung für Fusschirurgie, Orthopädische Universitäts-klinik Balgrist Zürich.

Swiss Surgery = Schweizer Chirurgie = Chirurgie Suisse = Chirurgia Svizzera
|May 20, 1998
PubMed
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This study evaluated a modified isolated talocalcaneal fusion technique for deformity and degeneration. The procedure demonstrated significant pain reduction and high fusion rates, preserving motion in adjacent joints.

Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction
  • Arthrodesis techniques

Context:

  • Talocalcaneal deformity and degeneration significantly impact patient mobility and quality of life.
  • Previous surgical interventions for talocalcaneal issues have varying outcomes and potential complications.
  • Isolated talocalcaneal fusion offers a targeted approach to address specific hindfoot pathologies.

Purpose:

  • To assess the clinical and radiological outcomes of a modified isolated talocalcaneal fusion.
  • To evaluate the efficacy of this technique in treating talocalcaneal deformity or degeneration.
  • To compare the results with existing surgical methods for talocalcaneal fusion.

Summary:

  • A prospective study involved 36 patients undergoing modified isolated talocalcaneal fusion for conditions like posterior tibial tendon rupture and post-traumatic osteoarthritis.

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  • Postoperative follow-up (32.5 months) showed significant pain reduction (VAS 4.4 to 1.1) and high patient satisfaction rates (80.8% satisfied).
  • Objective results were excellent/good in 77.7% of cases, with a 94.5% fusion rate and preserved range of motion in the ankle and Chopart joints.

    • Impact:

    • The modified isolated talocalcaneal fusion is a simple, effective technique for experienced surgeons.
    • This approach yields favorable mid-term subjective and objective results comparable to other fusion methods.
    • Preservation of adjacent joint motion represents a significant advantage, potentially improving functional outcomes.