title: Medial approach to the subtalar joint: anatomy, indications, technique tips.
abstract: The medial approach to the subtalar joint allows good visualization of the articular surfaces. Compared with the lateral approach, advantages are found particularly in flatfoot correction, in which the single-incision technique can be used for corrective fusions of rigid flatfoot deformity. Union rates are comparable with the traditional lateral approach; however, wound healing problems occur less frequently. Avascular necrosis of the talus is a rare but serious complication, although frequency seems to be independent of the approach chosen. Clinical studies showed no increased morbidity when comparing the medial to the lateral approach.
authors.affiliation: Department of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland. Electronic address: markus.knupp@ksbl.ch.
authors.forename: Markus
authors.initials: M
authors.lastname: Knupp
authors.affiliation: Department of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland.
authors.forename: Lukas
authors.initials: L
authors.lastname: Zwicky
authors.affiliation: Department of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland.
authors.forename: Tamara Horn
authors.initials: TH
authors.lastname: Lang
authors.affiliation: Department of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland.
authors.forename: Julian
authors.initials: J
authors.lastname: Röhm
authors.affiliation: Department of Orthopaedic Surgery, Kantonsspital Baselland, Liestal, Switzerland.
authors.forename: Beat
authors.initials: B
authors.lastname: Hintermann
mesh_terms: D001174:Arthrodesis / Q000379:methods*; D005530:Foot Deformities / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007592:Joint Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018579:Patient Selection; D013380:Subtalar Joint
keywords: Diple arthrodesis; Flatfoot deformity; Posterior tibial tendon dysfunction; Subtalar arthrodesis; Subtalar joint; Triple arthrodesis