Display options
Cite
Oshba H, Shaaban RHA, Abdelrahman I, et al. Arthroscopic Subtalar Joint Arthrodesis: Topical Review. Foot Ankle Int. 2021;10711007211035397doi: 10.1177/10711007211035397.
Oshba, H., Shaaban, R. H. A., Abdelrahman, I., & Gougoulias, N. (2021). Arthroscopic Subtalar Joint Arthrodesis: Topical Review. Foot & ankle international, 10711007211035397. https://doi.org/10.1177/10711007211035397
Oshba, Hesham, et al. "Arthroscopic Subtalar Joint Arthrodesis: Topical Review." Foot & ankle international vol. (2021): 10711007211035397. doi: https://doi.org/10.1177/10711007211035397
Oshba H, Shaaban RHA, Abdelrahman I, Gougoulias N. Arthroscopic Subtalar Joint Arthrodesis: Topical Review. Foot Ankle Int. 2021 Sep 22;10711007211035397. doi: 10.1177/10711007211035397. Epub 2021 Sep 22. PMID: 34549616.
Copy Download .nbib Format: NLM
Share it on

Foot Ankle Int. 2021 Sep 22;10711007211035397. doi: 10.1177/10711007211035397. Epub 2021 Sep 22.

Arthroscopic Subtalar Joint Arthrodesis: Topical Review.

Foot & ankle international

Hesham Oshba, Raghda Hasan AboBakr Shaaban, Islam Abdelrahman, Nikolaos Gougoulias

Affiliations

  1. Frimley Health NHS Foundation Trust, Frimley Park Hospital, Frimley, Surrey, United Kingdom.
  2. Biomedical Informatics and Medical Statistics department, Medical Research Institute, Alexandria University, Alexandria, Egypt.
  3. General Hospital of Katerini, Greece.

PMID: 34549616 DOI: 10.1177/10711007211035397

Abstract

BACKGROUND: Advances in foot and ankle arthroscopy over the last 2 decades have allowed for subtalar joint arthrodesis to be performed arthroscopically. The potential advantages of the arthroscopic technique include higher fusion rates, lower complications, reduced perioperative morbidity, and accelerated rehabilitation. Arthroscopic arthrodesis may, however, not be appropriate in the setting of complex deformity correction or the need for other open procedures.

METHODS: Surgical techniques of arthroscopic subtalar joint arthrodesis are described. Outcomes and complications associated with these procedures are presented, based on a comprehensive literature review. Thirteen Level IV studies of moderate quality were included.

RESULTS AND CONCLUSION: Excellent arthrodesis union rates were achieved (average 96%, range 86%-100%), at a weighted average union time of 8.8 weeks (95% confidence interval 7.9-9.7). The overall complication rate was 21% (87/415 feet; range 10%-36.4%). Metal irritation was the most common complication (11.2%), followed by nerve injury (4.2%) and infection (0.9%). Similar fusion rates have been reported when comparing arthroscopic and open arthrodesis. Complication rates are also similar, excerpt for infection, which may be lower with arthroscopy. Three different approaches were used to access the subtalar joint with similar union and complication rates. There was no evidence that the use of bone graft or more than 1 screw improved outcomes. The superiority of arthroscopic subtalar fusion over open techniques cannot be demonstrated by the available studies.

LEVEL OF EVIDENCE: Level IV, case series.

Keywords: arthritis; arthrodesis; arthroscopic; fusion; subtalar

Publication Types