Isolated Subtalar Arthrodesis
An isolated subtalar arthrodesis through a sinus tarsi approach with cannulated screw fixation is safe, reproducible, and effective for specific hindfoot pathology in adults. Perform a comprehensive clinical and radiographic assessment. Position the patient supine on the operating table with a bump...
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| Veröffentlicht in: | JBJS essential surgical techniques 2016-03, Vol.6 (1), p.e12-e12 |
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| creator | Ferrao, Paulo N Saragas, Nikiforos P Strydom, Andrew |
| description | An isolated subtalar arthrodesis through a sinus tarsi approach with cannulated screw fixation is safe, reproducible, and effective for specific hindfoot pathology in adults.
Perform a comprehensive clinical and radiographic assessment.
Position the patient supine on the operating table with a bump under the ipsilateral hip, to internally rotate the involved leg.
Mark a longitudinal incision from just inferior to the tip of the lateral malleolus and extending toward the base of the 4th metatarsal.
Expose the subtalar joint by reflecting the extensor digitorum brevis and protecting the peroneal tendons.
Meticulously prepare the subtalar joint using osteotomes and curets down to healthy bleeding subchondral bone.
Reduce the subtalar joint into 5° of valgus and fix it with cannulated screws.
Meticulously close the wound in layers and place the lower leg in a well-padded plaster back slab with the ankle in a neutral position.
The operatively treated leg is kept immobilized and non-weight-bearing for the first 6 weeks.
Numerous retrospective articles have reported high fusion rates and good functional outcomes after isolated subtalar arthrodesis, for all indications. |
| doi_str_mv | 10.2106/JBJS.ST.15.00065 |
| format | Article |
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Perform a comprehensive clinical and radiographic assessment.
Position the patient supine on the operating table with a bump under the ipsilateral hip, to internally rotate the involved leg.
Mark a longitudinal incision from just inferior to the tip of the lateral malleolus and extending toward the base of the 4th metatarsal.
Expose the subtalar joint by reflecting the extensor digitorum brevis and protecting the peroneal tendons.
Meticulously prepare the subtalar joint using osteotomes and curets down to healthy bleeding subchondral bone.
Reduce the subtalar joint into 5° of valgus and fix it with cannulated screws.
Meticulously close the wound in layers and place the lower leg in a well-padded plaster back slab with the ankle in a neutral position.
The operatively treated leg is kept immobilized and non-weight-bearing for the first 6 weeks.
Numerous retrospective articles have reported high fusion rates and good functional outcomes after isolated subtalar arthrodesis, for all indications.</description><identifier>ISSN: 2160-2204</identifier><identifier>EISSN: 2160-2204</identifier><identifier>DOI: 10.2106/JBJS.ST.15.00065</identifier><identifier>PMID: 30237922</identifier><language>eng</language><publisher>United States: The Journal of Bone and Joint Surgery, Inc</publisher><subject>Surgical Techniques</subject><ispartof>JBJS essential surgical techniques, 2016-03, Vol.6 (1), p.e12-e12</ispartof><rights>Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-f76a353c8a0a1328f677498699842a4d77430bcaa1343f4f2a4155f0fb53196c3</citedby><cites>FETCH-LOGICAL-c396t-f76a353c8a0a1328f677498699842a4d77430bcaa1343f4f2a4155f0fb53196c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145612/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6145612/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30237922$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ferrao, Paulo N</creatorcontrib><creatorcontrib>Saragas, Nikiforos P</creatorcontrib><creatorcontrib>Strydom, Andrew</creatorcontrib><title>Isolated Subtalar Arthrodesis</title><title>JBJS essential surgical techniques</title><addtitle>JBJS Essent Surg Tech</addtitle><description>An isolated subtalar arthrodesis through a sinus tarsi approach with cannulated screw fixation is safe, reproducible, and effective for specific hindfoot pathology in adults.
Perform a comprehensive clinical and radiographic assessment.
Position the patient supine on the operating table with a bump under the ipsilateral hip, to internally rotate the involved leg.
Mark a longitudinal incision from just inferior to the tip of the lateral malleolus and extending toward the base of the 4th metatarsal.
Expose the subtalar joint by reflecting the extensor digitorum brevis and protecting the peroneal tendons.
Meticulously prepare the subtalar joint using osteotomes and curets down to healthy bleeding subchondral bone.
Reduce the subtalar joint into 5° of valgus and fix it with cannulated screws.
Meticulously close the wound in layers and place the lower leg in a well-padded plaster back slab with the ankle in a neutral position.
The operatively treated leg is kept immobilized and non-weight-bearing for the first 6 weeks.
Numerous retrospective articles have reported high fusion rates and good functional outcomes after isolated subtalar arthrodesis, for all indications.</description><subject>Surgical Techniques</subject><issn>2160-2204</issn><issn>2160-2204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNpVUMtOAjEUbYxGCLJ3o2HpZsa-O7MxQeIDQuJicN10Oq2MGSi2MyT-vUWQ4N3c1znn3hwArhFMMYL8fvY4K9JikSKWQgg5OwN9jDhMMIb0_KTugWEInxECGRO5EJegRyAmIse4D26mwTWqNdWo6MpWNcqPxr5deleZUIcrcGFVE8zwkAfg_flpMXlN5m8v08l4nmiS8zaxgivCiM4UVIjgzHIhaJ7xPM8oVrSKHYGlVnFJiaU2zhBjFtqSEZRzTQbgYa-76cqVqbRZt141cuPrlfLf0qla_t-s66X8cFvJEWUc4ShwdxDw7qszoZWrOmjTNGptXBckRjGoIJRFKNxDtXcheGOPZxCUO2PlzlhZLCRi8tfYSLk9fe9I-LOR_AD3GHJe</recordid><startdate>20160323</startdate><enddate>20160323</enddate><creator>Ferrao, Paulo N</creator><creator>Saragas, Nikiforos P</creator><creator>Strydom, Andrew</creator><general>The Journal of Bone and Joint Surgery, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160323</creationdate><title>Isolated Subtalar Arthrodesis</title><author>Ferrao, Paulo N ; Saragas, Nikiforos P ; Strydom, Andrew</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-f76a353c8a0a1328f677498699842a4d77430bcaa1343f4f2a4155f0fb53196c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Surgical Techniques</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ferrao, Paulo N</creatorcontrib><creatorcontrib>Saragas, Nikiforos P</creatorcontrib><creatorcontrib>Strydom, Andrew</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JBJS essential surgical techniques</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ferrao, Paulo N</au><au>Saragas, Nikiforos P</au><au>Strydom, Andrew</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Isolated Subtalar Arthrodesis</atitle><jtitle>JBJS essential surgical techniques</jtitle><addtitle>JBJS Essent Surg Tech</addtitle><date>2016-03-23</date><risdate>2016</risdate><volume>6</volume><issue>1</issue><spage>e12</spage><epage>e12</epage><pages>e12-e12</pages><issn>2160-2204</issn><eissn>2160-2204</eissn><abstract>An isolated subtalar arthrodesis through a sinus tarsi approach with cannulated screw fixation is safe, reproducible, and effective for specific hindfoot pathology in adults.
Perform a comprehensive clinical and radiographic assessment.
Position the patient supine on the operating table with a bump under the ipsilateral hip, to internally rotate the involved leg.
Mark a longitudinal incision from just inferior to the tip of the lateral malleolus and extending toward the base of the 4th metatarsal.
Expose the subtalar joint by reflecting the extensor digitorum brevis and protecting the peroneal tendons.
Meticulously prepare the subtalar joint using osteotomes and curets down to healthy bleeding subchondral bone.
Reduce the subtalar joint into 5° of valgus and fix it with cannulated screws.
Meticulously close the wound in layers and place the lower leg in a well-padded plaster back slab with the ankle in a neutral position.
The operatively treated leg is kept immobilized and non-weight-bearing for the first 6 weeks.
Numerous retrospective articles have reported high fusion rates and good functional outcomes after isolated subtalar arthrodesis, for all indications.</abstract><cop>United States</cop><pub>The Journal of Bone and Joint Surgery, Inc</pub><pmid>30237922</pmid><doi>10.2106/JBJS.ST.15.00065</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Surgical Techniques |
| title | Isolated Subtalar Arthrodesis |
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