Fracture of the Talus as a Complication of Subtalar Arthroereisis

Corpuz, Michael; Shofler, David; Labovitz, Jonathan M.; Hodor, L; Yu, Kelly J.

doi:10.1053/j.jfas.2011.08.008

Cited by 25 publications

(8 citation statements)

References 8 publications

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“…What is more, some new rare but possible complications such as post-operative subtalar fusion and talar fracture have been documented in case reports. 73 - 75 However, in more recent studies the overall complication rate was considered negligable, standing between 0% and 11%. 60 , 71 By contrast, surprising data emerged from a web-based survey performed in 2015 documenting that out of the American Orthopaedic Foot and Ankle Society members that have performed subtalar arthroereisis over their carreer, one in three (33%) has decided to abandon the procedure, mainly because of the failure rate and the need for implant removal.…”

Section: Our Overview Of the Last Five Yearsmentioning

confidence: 99%

The role of arthroereisis of the subtalar joint for flatfoot in children and adults

2017

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Subtalar arthroereisis has been reported as a minimally-invasive, effective and low-risk procedure in the treatment of flatfoot mainly in children but also in adults.It has been described as a standalone or adjunctive procedure, and is indicated in the treatment of flexible flatfoot, tibialis posterior tendon dysfunction, tarsal coalition and accessory navicular syndrome.Different devices for subtalar arthroereisis are currently used throughout the world associated with soft-tissue and bone procedures, depending on the surgeon rather than on standardised or validated protocols.Sinus tarsi pain is the most frequent complication, often requiring removal of the implant.To date, poor-quality evidence is available in the literature (Level IV and V), with only one comparative non-randomised study (Level II) not providing strong recommendations. Long-term outcome and complication rates (especially the onset of osteoarthritis) are still unclear.Cite this article: EFORT Open Rev 2017;2:438–446. DOI: 10.1302/2058-5241.2.170009

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Section: Our Overview Of the Last Five Yearsmentioning

confidence: 99%

The role of arthroereisis of the subtalar joint for flatfoot in children and adults

2017

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“…Long-term result as a whole was encouraging, yet only 18 patients (52.9%) performed sports activities regularly. In addition, long-term complication of SA, although rare, is still poorly evaluated and lacks comprehensive exposition ( 35 – 38 ). Moreover, up to now, no study has looked into the long-term impact of SA on the subtalar joint; thus, whether SA might increase the risk of subtalar osteoarthritis is still unknown.…”

Section: Discussionmentioning

confidence: 99%

HyProCure for Pediatric Flexible Flatfoot: What Affects the Outcome

Chen

Jiang

et al. 2022

Front. Pediatr.

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BackgroundThe high success rate, minimal invasion, and safety of subtalar arthroereisis (SA) have made it a primary mode of surgical management for pediatric flexible flatfoot. The HyProCure procedure is a new surgery for SA, However, very few available studies reported the therapeutic effects of the HyProCure procedure, especially in pediatric flexible flatfoot. The main aim of the present study was to investigate the clinical and radiological outcomes of the HyProCure procedure for pediatric flexible flatfoot and analyze the risk factors for therapeutic outcomes and sinus tarsi pain.MethodsIn this retrospective cohort study, 69 pediatric flexible flatfoot patients (107 feet) who underwent the HyProCure procedure were included between July 2015 and September 2020. All patients underwent the HyProCure procedure with or without gastrocnemius recession. The Maryland foot score (MFS), visual analog scale (VAS), radiographic data, and complications were assessed at a minimum 1-year follow-up and statistically analyzed.ResultsThe mean follow-up was 35.9 months (range, 13–73 months). At the last follow-up, VAS (0.64 ± 1.16) was significantly lower than the preoperative VAS (4.06 ± 1.43) (p < 0.001); MFS (90.39 ± 12.10) was significantly higher than the preoperative MFS (71.36 ± 10.25) (p < 0.001). The AP talar-second metatarsal angle (T2MT angle) significantly decreased from 17.0 ± 5.4° preoperatively to 11.4 ± 5.2° at the last follow-up (p < 0.001). The lateral talar-first metatarsal angle (Meary's angle) significantly decreased from 13.8 ± 6.4° preoperatively to 6.3 ± 5.0° at the last follow-up (p < 0.001). The calcaneal declination angle (Pitch angle) significantly increased from 13.5 ± 4.9° preoperatively to 14.8 ± 4.4° at the last follow-up (p < 0.001). Logistic regression analysis indicated that patients with a longer distance from the tail end of the implant exceeding the longitudinal talar bisection line had 275.8% greater odds of MFS < 90. Yet, no risk factors were found in connection with sinus tarsi pain.ConclusionsThe HyProCure procedure for pediatric flexible flatfoot achieved satisfactory curative effects with a low complication rate; implant depth was associated with unsatisfactory postoperative outcome.

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“…Joveniaux et al 20 use one or two bone staples to stabilise the arthrodesis sites the staples can be placed through the same surgical approach, avoiding additional incisions and fluoroscopy. Repeated placement of the implants should be avoided since Corpuz et al 21 reported that talar fractures can occur. Varus malunion and nonunion are the most important causes of failure of subtalar arthrodesis.…”

Section: Surgical Managementmentioning

confidence: 99%

Surgical Management of Calcaneal Malunion

2013

Journal of Orthopaedics, Trauma and Rehabilitation

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Calcaneal malunion is a common complication after conservative treatment or incorrect surgical treatment of calcaneal fracture. The typical pathoanatomies of calcaneal malunion are subtalar joint incongruity, loss of calcaneal height, arch collapse, varus or valgus deformity of the calcaneus, heel widening and so on. Calcaneal malunion often needs to be treated surgically. The classification of calcaneal malunion and the detailed clinical and radiographical assessment play important roles for surgical option. The main surgical methods include in situ subtalar arthrodesis, reconstruction of calcaneal thalamus and subtalar arthrodesis, calcaneal osteotomy with subtalar arthrodesis, corrective calcaneal osteotomy without subtalar arthrodesis. Each option has its different indications, advantages and disadvantages. Thus, the surgical treatment should be individualised.

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Fracture of the Talus as a Complication of Subtalar Arthroereisis

Cited by 25 publications

References 8 publications

The role of arthroereisis of the subtalar joint for flatfoot in children and adults

The role of arthroereisis of the subtalar joint for flatfoot in children and adults

HyProCure for Pediatric Flexible Flatfoot: What Affects the Outcome

Surgical Management of Calcaneal Malunion

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