Posterior arthroscopic subtalar arthrodesis for symptomatic adult talocalcaneal coalition
10.3760/cma.j.cn112139-20230621-00241
- VernacularTitle:全后足关节镜下距下关节融合治疗成人疼痛性跟距骨桥的临床效果
- Author:
Yunjia HAO
1
;
Aiguo WANG
;
Zexiang LYU
;
Buqing CHANG
;
Jiaqiang FAN
;
Youlun TAO
;
Shucai ZHANG
;
Zaiyi ZHANG
Author Information
1. 徐州市中心医院手足显微外科 徐州医科大学徐州临床学院，徐州 221009
- Keywords:
Calcaneus;
Talus;
Talocalcaneal coalition;
Arthroscopic;
Arthrodesis
- From:
Chinese Journal of Surgery
2023;61(11):976-981
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the functional outcomes of posterior arthroscopic subtalar arthrodesis (PASTA) for adult patients presenting with symptomatic talocalcaneal coalition.Methods:The study was a retrospective case-series research.The data of 17 adult patients (17 feet) with symptomatic talocalcaneal coalitions,treated with PASTA from March 2018 to February 2022 in Xuzhou Central Hospital were collected.This procedure involved 10 males and 7 females,aged (42.4±7.5) years(range:31 to 58 years).There were 9 cases on the right side and 7 cases on the left side.According to the Rozansky classification,there were 4 cases of type Ⅰ,7 cases of type Ⅱ, 3 cases of type Ⅲ,3 cases of type Ⅳ.The following items such as wound healing and bony union of the subtalar joint were observed.Clinical assessment was performed using pain visual analogue scale (VAS),American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scores and 36-item short form health survey (SF-36) scores.The paired t test was used for data comparison. Results:The follow-up time was (24.8±6.9) months(range:12 to 40 months).There were no complications such as wound infection,deep vein thrombosis,nonunion,or screw breakage.One patient with preoperative spasm,relieved after the second surgical procedure (peroneal brevis tendon lengthening).The union time of the subtalar joint was (8.8±2.2) weeks(range:6 to 12 weeks).At the final follow-up,the VAS decreased from 6.4±1.3 to 1.3±0.9 ( t=14.114, P<0.01), the AOFAS ankle-hindfoot score increased from 49.0±8.1 to 90.0±5.1 ( t=38.782, P<0.01),and the SF-36 score increased from 50.8±9.5 to 91.0±4.9 ( t=20.468, P<0.01). Conclusion:PASTA for adult patients presenting with symptomatic talocalcaneal coalition offers advantages of minimal trauma,fast recovery,and few complications,which is an effective method.
