Subtalar and talonavicular arthrodesis through a single medial approach for the correction of severe planovalgus deformity.
We describe a retrospective review of the clinical and radiological parameters of 32 feet in 30 patients (10 men and 20 women) who underwent correction for malalignment of the hindfoot with a modified double arthrodesis through a medial approach. The mean follow-up was 21 months (13 to 37). Fusion was achieved in all feet at a mean of 13 weeks (6 to 30). Apart from the calcaneal pitch angle, all angular measurements improved significantly after surgery. Primary wound healing occurred without complications. The isolated medial approach to the subtalar and talonavicular joints allows good visualisation which facilitated the reduction and positioning of the joints. It was also associated with fewer problems with wound healing than the standard lateral approach.
Knupp
M
M
Department of Orthopaedic Surgery, Kantonsspital Liestal, Liestal, Switzerland. markus.knupp@ksli.ch
Schuh
R
R
Stufkens
S A S
SA
Bolliger
L
L
Hintermann
B
B
D000368:Aged; D000369:Aged, 80 and over; D001174:Arthrodesis / Q000379:methods*; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005528:Foot / Q000000981:diagnostic imaging / Q000601:surgery; D005530:Foot Deformities / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012189:Retrospective Studies; D013380:Subtalar Joint / Q000000981:diagnostic imaging / Q000601:surgery; D013640:Tarsal Joints / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome