Common Pitfalls in Subtalar Joint Preparation for Arthrodesis via Sinus Tarsi Approach

Patel, Neil; Blazek, Cody D.; Scanlan, Rick L.; Manway, Jeffrey M.; Burns, Patrick R.

doi:10.1053/j.jfas.2019.08.006

Cited by 5 publications

(1 citation statement)

References 16 publications

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“…Causes of deformity include failure of the posterior tibial tendon which can aggravate deformity in valgus and lateral impact, causing pain in the tarsal region. Any trauma to the subtalar joint and posterior facet can lead to posttraumatic subtalar arthritis, and certain fractures of the calcaneus with severe comminution can benefit from this procedure (7)(8)(9) .…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic subtalar arthrodesis – results and complications

et al. 2020

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Objective: The objective of this study is to evaluate the results and complications of the subtalar arthrodesis technique conducted via arthroscopy. Methods: Searches were run on PubMed/Medline and Google Scholar for publications dated from 2007 to 2020. Original articles were included that reported the results of at least one comparative postoperative scale. Methodological quality was assessed using the PRISMA tool. Union rate, complications, and the American Orthopedic Foot and Ankle Society (AOFAS) score were prioritized. Results: A total of 124 references were identified and, after application of the inclusion and exclusion criteria and the PRISMA tool, 9 articles were eligible. A total of 180 patients were analyzed, with mean postoperative follow-up of 18 months (± 6) and with before and after AOFAS scores varying from 44 to 79 with p<0.001, demonstrating statistical relevance with significant improvement of AOFAS scores during the postoperative period. Deformity correction, improvement of pain, and rates of union were good and there was clinical improvement according to postoperative AOFAS scores, with few complications. However, the heterogeneous nature of studies, withvariations in techniques and samples, prevents generalization of the findings. Conclusion: The results of arthroscopic surgery for subtalar arthrodesis are good and rates of complications are low, but there are stillfew studies with high evidence levels that demonstrate the efficacy of the technique, although preliminary results are encouraging. Level of Evidence I; Therapeutic Studies; Systematic Review.

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Section: Introductionmentioning

confidence: 99%