Combined subtalar distraction arthrodesis with peroneus brevis tenotomy for posttraumatic subtalar arthritis |
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| Institution: | 1. Center of Foot and Ankle Surgery, Schön Klinik München Harlaching, Munich, Germany;2. Department of Orthopedics and Trauma Surgery, Albert-Ludwigs University of Freiburg, Medical Center, Freiburg, Germany;3. Department of Biosciences, University of Oslo, PB 1066 Blindern, 0316 Oslo, Norway;1. Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Ernst-Grube Str. 40, 06120 Halle Germany;2. Department for Anatomy and Cell Biology, Martin Luther University, Halle Wittenberg, Große Steinstraße 52, 06108 Halle, Germany;3. Department of Prosthodontics, School of Dental Medicine Martin-Luther-University Halle-Wittenberg Magdeburger Str. 16, 06108 Halle Germany;1. Duke University Medical Center, Department of Orthopaedic Surgery, Durham, NC 27710, United States;2. Universidad de Chile, Department of Orthopaedic Surgery, Foot and Ankle Division. Santiago 8380456, Chile;3. Department of Orthopaedic Surgery, North Carolina Orthopaedic Clinic, Adjunct Faculty, Duke Fuqua School of Business, Durham, NC, United States |
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| Abstract: | BackgroundSubtalar distraction arthrodesis is advocated as a salvage procedure for isolated posttraumatic subtalar arthritis. This study aimed at evaluating combined subtalar distraction arthrodesis with peroneus brevis tenotomy for such cases.MethodsTwenty patients with isolated posttraumatic subtalar arthritis managed by combined subtalar distraction arthrodesis and peroneus brevis tenotomy were reviewed for a retrospective study. The American orthopaedic foot and ankle society AOFAS] hindfoot scoring, talocalcaneal height TCH], talocalcaneal angle TCA] and heel valgus angle HVA] were used for both pre and postoperative assessments.ResultsThe mean postoperative TCH] 70.3 ± 1.9 mm] was statistically better than the preoperative value 64.7 ± 2.2 mm] p < 0.001]. There was a statistically significant decrease in HVA] p < 0.001]. On the contrary, there was a statistically significant increase in both AOFAS] hindfoot scoring and the TCA] p < 0.001].ConclusionsApplying this technique for isolated posttraumatic subtalar arthritis with peroneal tendinitis improved both lateral retromalleolar swelling and deformity correction. |
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| Keywords: | Posttraumatic Subtalar arthritis Subtalar distraction arthrodesis Peroneus brevis tenotomy |
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