Advertisement

Subtalar Joint Arthritis: Treatment and Arthroscopic Lateral Procedure

  • Yoshiharu Shimozono
  • John G. KennedyEmail author
  • James W. Stone
Chapter
  • 48 Downloads

Abstract

Subtalar arthrodesis is appropriate treatment for patients with subtalar joint arthritis unresponsive to nonoperative treatment. Traditionally performed using open techniques, arthroscopic subtalar arthrodesis has gained popularity. The procedure has been shown to yield excellent outcomes, and may be associated with higher fusion rates, shorter time to healing, and fewer complications compared to open surgery. The arthroscopic procedure may be performed using either a lateral or a posterior approach to the subtalar joint. The lateral procedure can be performed using a 2-portal approach in the sinus tarsi with a low risk of neurovascular injuries or other complications.

References

  1. 1.
    Keefe DT, Haddad SL. Subtalar instability. Etiology, diagnosis, and management. Foot Ankle Clin. 2002;7(3):577–609.CrossRefGoogle Scholar
  2. 2.
    Barg A, Tochigi Y, Amendola A, Phisitkul P, Hintermann B, Saltzman CL. Subtalar instability: diagnosis and treatment. Foot Ankle Int. 2012;33(2):151–60.CrossRefGoogle Scholar
  3. 3.
    Muñoz G, Eckholt S. Subtalar arthroscopy: indications, technique and results. Foot Ankle Clin. 2015;20(1):93–108.CrossRefGoogle Scholar
  4. 4.
    Lintz F, Guillard C, Colin F, Marchand JB, Brilhault J. Safety and efficiency of a 2-portal lateral approach to arthroscopic subtalar arthrodesis: a cadaveric study. Arthroscopy. 2013;29(7):1217–23.CrossRefGoogle Scholar
  5. 5.
    Glanzmann MC, Sanhueza-Hernandez R. Arthroscopic subtalar arthrodesis for symptomatic osteoarthritis of the hindfoot: a prospective study of 41 cases. Foot Ankle Int. 2007;28(1):2–7.CrossRefGoogle Scholar
  6. 6.
    Scranton PE Jr. Comparison of open isolated subtalar arthrodesis with autogenous bone graft versus outpatient arthroscopic subtalar arthrodesis using injectable bone morphogenic protein-enhanced graft. Foot Ankle Int. 1999;20(3):162–5.CrossRefGoogle Scholar
  7. 7.
    Easley ME, Trnka HJ, Schon LC, Myerson MS. Isolated subtalar arthrodesis. J Bone Joint Surg Am. 2000;82(5):613–24.CrossRefGoogle Scholar
  8. 8.
    Tasto JP. Arthroscopy of the subtalar joint and arthroscopic subtalar arthrodesis. Instr Course Lect. 2006;55:555–64.PubMedGoogle Scholar
  9. 9.
    Stegeman M, Louwerens JW, van der Woude JT, Jacobs WC, van Ginneken BT. Outcome after operative fusion of the tarsal joints: a systematic review. J Foot Ankle Surg. 2015;54(4):636–45.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Yoshiharu Shimozono
    • 1
  • John G. Kennedy
    • 1
    Email author
  • James W. Stone
    • 2
  1. 1.NYU Langone HealthNew YorkUSA
  2. 2.Medical College of WisconsinMilwaukeeUSA

Personalised recommendations