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Isolated Subtalar Joint Arthrodesis

  • Michael D. Dujela
  • Ryan T. Scott
  • Matthew D. Sorensen
  • Mark A. Prissel
Chapter

Abstract

Isolated subtalar joint fusion is a powerful procedure applied in the engagement of definitive treatment for hindfoot arthritis and/or deformity. Because of the importance of the subtalar joint in dynamic biomechanical gait pattern kinematics, disease intrinsic to the joint can prove debilitating [1]. Pathology associated with this important joint includes post-traumatic arthritis, flatfoot deformity, cavus foot deformity, inflammatory arthritis, and tarsal coalition [2]. Late-stage STJ arthritis from long-standing residual hindfoot deformity or failed joint salvage attempts are also indications for definitive fusion [3]. Certainly, subtalar joint fusion is often utilized in conjunction with other joint-modifying procedures such as total ankle replacement or global foot and ankle reconstructive procedures [4]. Reported union rates are high at 84–100% (Reference). Because of the high union rate and low complication rates, the procedure has a high patient satisfaction coefficient [5]. Case I shows significant deformity with STJ arthritic change and subsequent definitive fusion in conjunction with concomitant procedures in a long-standing recalcitrant flatfoot. Case 2 shows definitive STJ fusion secondary to post-traumatic arthritic change and calcaneal body collapse with decreased talar declination angle.

Keywords

Subtalar joint Arthrodesis Fusion Hindfoot Post-traumatic arthritis 

References

  1. 1.
    Rockar P. The subtalar joint: anatomy and joint motion. J Orthop Sports Phys Ther. 1995;21(6):361–72.CrossRefGoogle Scholar
  2. 2.
    Kulik S, Clanton T. Tarsal coalition. Foot Ankle Int. 1996;17(5):286–96.CrossRefGoogle Scholar
  3. 3.
    Carr J, Hansen S, Benirschke SK. Subtalar distraction bone block fusion for late complications of os calcis fractures. Foot Ankle. 1998;9(2):81–6.CrossRefGoogle Scholar
  4. 4.
    DiDomenico L, Wargo-Dorsey M. Tibiotalocalcaneal arthrodesis using a femoral locking plate. J Foot Ankle Surg. 2012;51:128–32.CrossRefGoogle Scholar
  5. 5.
    Diezi C, Favre P, Vienne P. Primary isolated subtalar arthrodesis: outcome after 2 to 5 years followup. Foot Ankle Int. 2008;29(12):1195–202.CrossRefGoogle Scholar
  6. 6.
    Isherwood I. A radiological approach to the subtalar joint. J Bone Joint Surg. 1961;43B(3):566–74.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Michael D. Dujela
    • 1
  • Ryan T. Scott
    • 2
  • Matthew D. Sorensen
    • 3
  • Mark A. Prissel
    • 4
  1. 1.Washington Orthopaedic CenterCentraliaUSA
  2. 2.The CORE InstitutePhoenixUSA
  3. 3.Weil Foot and Ankle Institute, Foot & Ankle SurgeryChicagoUSA
  4. 4.Orthopedic Foot & Ankle CenterWorthingtonUSA

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