Subtalar Arthrodesis using Cannulated Screws and Morselized Bone Graft.
- Author:
Jae Hoon AHN
1
;
Kap Jung KIM
;
Won Sik CHOY
;
Kyu Hyun NA
Author Information
1. Department of Orthopaedic Surgery, Eulji University College of Medicine, Daejeon, Korea. jhahn@eulji.ac.kr
- Publication Type:Original Article
- Keywords:
Subtalar arthritis;
Subtalar arthrodesis;
Morselized bone graft
- MeSH:
Arthritis;
Arthrodesis*;
Follow-Up Studies;
Humans;
Joints;
Transplants*
- From:Journal of Korean Foot and Ankle Society
2006;10(1):66-70
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyze the clinical and radiological outcome of subtalar arthrodesis using cannulated screws and morselized bone graft. MATERIALS AND METHODS: Twenty one patients with follow-up of more than 1 year after subtalar arthrodesis were included in this study. Mean age was 40.8 years, and mean follow-up duration was 38 months. Underlying diseases were 19 cases of posttraumatic arthritis (18 calcaneal fractures and 1 talar fracture) and 2 cases of tarsal coalition. Clinically AOFAS ankle-hindfoot score, operation time, complication and satisfaction of patients were analyzed. Radiologically time to union, arthritis of surrounding joints, preoperative and postoperative talar declination angle were analyzed. RESULTS: AOFAS ankle-hindfoot score was improved from preoperative 33 points to postooperative 79 points. Eighteen patients (86%) were satisfied with the results. Mean operation time was 91 minutes. All cases were fixed with 1-2 cannulated screws and morselized bone graft. Mean time to radiologic union was 12.1 weeks. There was 1 case of delayed union. There was no significant perioperative changes in talar declination angles. CONCLUSION: Subtalar arthrodesis using cannulated screws and morselized bone graft seems to be relatively simple and effective treatment method for subtalar arthritis.