Long-term results of in situ subtalar arthrodesis.
Isolated subtalar disorders often require subtalar arthrodesis. In this retrospective study of 28 in situ subtalar arthrodeses reviewed with a median follow-up of 56 months (range, 20-115), the authors attempted to detail the outcomes of in situ subtalar fusion, the consequences on adjacent joints and to determine clinical or radiological factors of failure. Clinical evaluation was realised with the AOFAS (American Orthopaedic Foot and Ankle Society) ankle hindfoot score. Radiographic evaluation included assessment of hindfoot alignment, subtalar fusion and arthritic evolution in the adjacent joints. The median functional score was 76.5/94 (range, 36-94). All 28 arthrodeses achieved union. Mild arthritic changes occurred in 43-65% in the different adjacent joints. These changes were not symptomatic. Varus malunion and clinical nonunion seem to be the most important causes of failure.
Joveniaux
Pierre
P
CHU Maison Blanche, Reims, France. pierre_joveniaux@yahoo.fr
Harisboure
Alain
A
Ohl
Xavier
X
Dehoux
Emile
E
D000328:Adult; D001168:Arthritis / Q000209:etiology; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D016916:Joint Deformities, Acquired / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016348:Osseointegration / Q000502:physiology; D011475:Prosthesis Failure; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D018434:Sickness Impact Profile; D013380:Subtalar Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome