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Arthroscopic subtalar fusion for post-traumatic subtalar arthritis
Arthroscopy, 07/02/09

Shazly OE et al. – Study reports that arthroscopically assisted posterior facet fusion of the subtalar joint is an effective method for management of subtalar arthritis after calcaneal fracture.

Methods

Aim was to determine the results of arthroscopic subtalar posterior facet fusion for subtalar arthritis after calcaneal fracture
Retrospective case series on 10 pts (8 men) who had isolated subtalar arthritis after calcaneal fracture
All pts were treated conservatively, but pain was not controlled
Only pts w/o hardware in calcaneus were included
Pts were treated by posterior subtalar arthroscopic fusion
Fixation was done by percutaneous cannulated screw; bone graft was not needed
All pts were evaluated preoperatively and postoperatively by American Orthopaedic Foot & Ankle Society scoring system for ankle and hind foot
Mean f/u period was 28.4 mo; only 1 case was missed during f/u

Results

A significant improvement in total American Orthopaedic Foot & Ankle Society score after 2 yrs' f/u was observed
An improvement in pain and walking distance after f/u
Mean time for fusion was 11.44 wks
Only 1 case had painful neuroma at the site of the anterolateral portal

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