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Shah A, Naranje S, Araoye I, et al. ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS. Acta Ortop Bras. 2017;25(5):183-187doi: 10.1590/1413-785220172505177665.
Shah, A., Naranje, S., Araoye, I., Elattar, O., Godoy-Santos, A. L., & Cesar, C. (2017). ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS. Acta ortopedica brasileira, 25(5), 183-187. https://doi.org/10.1590/1413-785220172505177665
Shah, Ashish, et al. "ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS." Acta ortopedica brasileira vol. 25,5 (2017): 183-187. doi: https://doi.org/10.1590/1413-785220172505177665
Shah A, Naranje S, Araoye I, Elattar O, Godoy-Santos AL, Cesar C. ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS. Acta Ortop Bras. 2017 Sep-Oct;25(5):183-187. doi: 10.1590/1413-785220172505177665. PMID: 29081701; PMCID: PMC5608735.
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Acta Ortop Bras. 2017 Sep-Oct;25(5):183-187. doi: 10.1590/1413-785220172505177665.

ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS.

Acta ortopedica brasileira

Ashish Shah, Sameer Naranje, Ibukunoluwa Araoye, Osama Elattar, Alexandre Leme Godoy-Santos, Cesar DE Cesar

Affiliations

  1. . Department of Surgery, Division of Orthopedic Surgery, University of Alabama, Birmingham, AL, USA.
  2. . Department of Orthopedic Surgery, Forrest City Medical Center, Forrest City, AR, USA.
  3. . Orthopedic Sports Medicine Service, Boston University, Boston, MA, USA.
  4. . Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

PMID: 29081701 PMCID: PMC5608735 DOI: 10.1590/1413-785220172505177665

Abstract

OBJECTIVES: The purpose of this study was to compare union rates for isolated subtalar arthrodesis with and without the use of bone grafts or bone graft substitutes.

METHODS: We retrospectively reviewed 135 subtalar fusions with a mean follow-up of 18 ± 14 months. The standard approach was used for all surgeries. Graft materials included b-tricalcium phosphate, demineralized bone matrix, iliac crest autograft and allograft, and allograft cancellous chips. Successful subtalar fusion was determined clinically and radiographically.

RESULTS: There was an 88% (37/42) union rate without graft use and an 83% (78/93) union rate with bone graft use. Odds ratio of union for graft versus no graft was 0.703 (95% CI, 0.237-2.08). The average time to union in the graft group was 3 ± 0.73 months and 3 ± 0.86 in the non-graft group, with no statistically significant difference detected (p = 0.56).

CONCLUSION: Graft use did not improve union rates for subtalar arthrodesis.

Keywords: Arthrodesis; Bone transplantation; Calcaneus; Subtalar joint; Transplantation, homologous

Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

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