Use of circular external fixation for combined subtalar joint fusion and ankle distraction.
The authors discuss a novel technique not previously published that incorporates a subtalar joint arthrodesis with an ankle joint arthrodiastasis as an alternative to a tibiotalocalcaneal arthrodesis. Young and active patients who experience refractory pain and stiffness to the rearfoot and ankle secondary to combined severe subtalar and ankle arthrosis are suitable candidates for this surgical procedure. This new approach is based on sound principles in the treatment of severe arthrosis affecting the ankle and subtalar joint. The authors are currently prospectively reviewing their surgical experience with this procedure and believe that it provides an alternative option for the patient, with potentially promising long-term results.
Zgonis
Thomas
T
Podiatry Division, Department of Orthopaedics, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA. zgonis@uthscsa.edu
Stapleton
John J
JJ
Roukis
Thomas S
TS
D001174:Arthrodesis / Q000295:instrumentation*; D001864:Bone Wires; D016267:External Fixators; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000295:instrumentation*; D013380:Subtalar Joint