[Results of subtalar arthrodesis for traumatic sequelae of the hindfoot].
Sixty-seven arthrodeses of the hind foot were done for sequellae of trauma. Forty-one cases were old fractures of the calcaneus. The technique was either the use of a cylindrical bone graft, or fixation of the joint by a screw after removal of the cartilage and correction of deformity when necessary. On 12 occasions the mid-tarsal joints were also fused. Several instances of delayed skin healing were seen after a lateral approach and the use of a bone graft to correct valgus deformity. Only two-thirds of the patients had a satisfactory result. Some developed arthrosis in the joints of the forefoot. The main cause of failure was persistent deformity particularly in varus. When there was no pre-operative deformity the use of a cylindrical graft seemed better than complete excision of articular cartilage which led to two post-operative deformities. The mid-tarsal joint should not be systematically fused.
D000843:Ankle Joint; D001174:Arthrodesis; D002111:Calcaneus / Q000293:injuries; D005500:Follow-Up Studies; D005528:Foot / Q000601:surgery; D018409:Foot Injuries; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D011183:Postoperative Complications; D013628:Talus
Résultats de l'arthrodèse sous-astragalienne pour séquelles traumatiques de l'arrière-pied.