Rheumatology

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Arthroscopic subtalar fusion for post-traumatic subtalar arthritis
Arthroscopy, 07/08/09

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.

• 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

• 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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