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Isolated subtalar arthrodesis

R A Mann¹, D N Beaman, G A Horton

¹Foot Fellowship Program, San Leandro, California, USA.

Foot & Ankle International

|September 5, 1998

Summary

Isolated subtalar arthrodesis surgery is highly successful for treating various hindfoot conditions, significantly improving patient satisfaction, pain, and function. This hindfoot fusion procedure offers a reliable solution for specific indications.

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Area of Science:

Orthopedic Surgery
Foot and Ankle Reconstruction
Arthrodesis Procedures

Background:

Subtalar joint pathology encompasses conditions like talocalcaneal coalition, post-traumatic arthrosis, flatfoot, and inflammatory arthritis.
Surgical intervention, including isolated subtalar arthrodesis, is considered for debilitating hindfoot pain and dysfunction unresponsive to conservative management.

Purpose of the Study:

To evaluate the clinical outcomes and radiographic results of isolated subtalar arthrodesis.
To assess patient satisfaction and functional improvement following subtalar fusion for diverse etiologies.

Main Methods:

Retrospective review of 48 isolated subtalar arthrodeses in 44 patients.
Average follow-up of 59.5 months.
Analysis of diagnoses, patient satisfaction, pain, function (American Orthopaedic Foot and Ankle Society ankle-hindfoot score), and radiographic union.

Main Results:

93% of patients reported satisfaction with the treatment.
Significant improvements in pain and function were observed, with an average ankle-hindfoot score of 89.
Union was achieved in all cases; however, 36% and 41% showed mild radiographic progression of arthrosis in adjacent joints.

Conclusions:

Isolated subtalar arthrodesis is a highly successful procedure for selected hindfoot pathologies.
The study supports the use of hindfoot fusion for specific indications, demonstrating favorable patient outcomes.
Potential for adjacent joint arthrosis progression should be considered post-operatively.

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