Subtalar Distraction Arthrodesis

Norman Espinosa; Elena Vacas

doi:10.1016/j.fcl.2018.04.008

Subtalar Distraction Arthrodesis

Foot Ankle Clin. 2018 Sep;23(3):485-498. doi: 10.1016/j.fcl.2018.04.008.

Authors

Norman Espinosa¹, Elena Vacas²

Affiliations

¹ Institute for Foot and Ankle Reconstruction, Kappelistrasse 7, Zurich 8002, Switzerland. Electronic address: espinosa@fussinstitut.ch.
² Institute for Foot and Ankle Reconstruction, Kappelistrasse 7, Zurich 8002, Switzerland.

PMID: 30097087
DOI: 10.1016/j.fcl.2018.04.008

Abstract

The subtalar joint can be altered in its anatomy and biomechanical behavior. It is important to know how to assess the talar declination angle in order to assess the deformity at the subtalar joint. Consider a straight posterior approach to the subtalar joint and remain liberal in the use of z-shaped Achilles tendon lengthening. A structural bone graft should be used to elevate the talus. Positioning screws should be used to lock the construct.

Keywords: Achilles tendon lengthening; Structural bone graft; Subtalar distraction arthrodesis; Subtalar joint.

Publication types

Review

MeSH terms

Achilles Tendon / surgery
Arthrodesis / adverse effects
Arthrodesis / methods*
Bone Screws
Bone Transplantation / methods*
Calcaneus / blood supply
Calcaneus / surgery
Humans
Subtalar Joint / surgery*
Talus / blood supply
Talus / surgery