Outcomes and Complications After Open Versus Posterior Arthroscopic Subtalar Arthrodesis in 121 Patients

Abstract

Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Arthroscopic subtalar arthrodesis through the sinus tarsi portal approach: A series of 77 cases

“…We report an overall rate of successful union of 97.4%, which is comparable to previously published results for both arthroscopic [5,12,[14][15][16][17][18][19][20][21][22][23][24][25] and open [1][2][3][4][5]11] subtalar arthrodesis. The low incidence of surgical site infection and nerve injury in our series are favourable to rates reported for open arthrodesis [1][2][3], and comparable to those previously seen in arthroscopic subtalar arthrodesis.…”

“…with several studies suggesting benefits over open arthrodesis in terms of union time, functional outcome, length of inpatient stay, and blood loss [6][7][8][9][10][11].…”

“…Indeed, a number of small series' of arthroscopic subtalar arthrodesis have now been reported [5,[11][12][13][14][15][16][17][18][19][20][21][22][23][24][25], all demonstrating encouraging early results in terms of rates of successful union and incidence of complications. In these studies, procedures were performed through either a posterior (posteromedial and posterolateral portals) or lateral (anterolateral and posterolateral portals) approach.…”

Do clinical results of arthroscopic subtalar arthrodesis correlate with CT fusion ratio?

“…These fusion conditions thus seemed not to influence the fusion ratio in the present series. Rungprai et al (2016) [11], at last follow-up of arthroscopic posterior subtalar fusion, reported a 5.1 point gain in pain VAS, and 24.5 and 17 point gains in SF-36 physical and mental component scores respectively. Other authors likewise reported mean AOFAS score gains ranging between 31 and 50 points [4,5,8].…”

“…Technological progress and surgeons' improved arthroscopic skill have opened a field of possibilities to reduce morbidity following subtalar fusion. Fusion times and rates seem to be better with arthroscopic techniques, although there remains some disagreement [3][4][5][6][7][8][9][10][11].…”