title: Subtalar joint arthrodesis, ankle arthrodiastasis, and talar dome resurfacing with the use of a collagen-glycosaminoglycan monolayer.
abstract: Intraarticular fractures of the calcaneus are a common injury to the hindfoot leading to posttraumatic arthrosis of the subtalar joint. Operative treatment with reduction and internal fixation at the time of initial presentation and once the soft tissue envelope is deemed suitable has become the standard of care for the surgical management of calcaneal fractures. However, numerous complications have been associated with calcaneal fractures, most notably subtalar joint arthrosis and calcaneal malunion. The authors describe a method of a delayed subtalar joint arthrodesis, ankle joint arthrodiastasis, and talar resurfacing with positive results for the management of painful posttraumatic concomitant arthrosis of the subtalar and ankle joints.
authors.affiliation: Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, The University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive - MSC 7776, San Antonio, TX, 78229, USA.
authors.forename: Crystal L
authors.initials: CL
authors.lastname: Ramanujam
authors.forename: Bryan
authors.initials: B
authors.lastname: Sagray
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
mesh_terms: D000843:Ankle Joint / Q000601:surgery*; D001168:Arthritis / Q000209:etiology / Q000601:surgery; D001174:Arthrodesis; D001672:Biocompatible Materials / Q000008:administration & dosage; D002111:Calcaneus / Q000293:injuries / Q000601:surgery; D003094:Collagen / Q000008:administration & dosage; D016267:External Fixators; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery; D006025:Glycosaminoglycans / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D013380:Subtalar Joint / Q000601:surgery*; D013628:Talus / Q000601:surgery*; D023822:Tissue Engineering / Q000379:methods; D054457:Tissue Scaffolds
chemical_list: D001672:Biocompatible Materials; D006025:Glycosaminoglycans; D003094:Collagen