Original Article
Posterior arthroscopic subtalar arthrodesis for symptomatic adult talocalcaneal coalition
Hao Yunjia, Wang Aiguo, Lyu Zexiang, Chang Buqing, Fan Jiaqiang, Tao Youlun, Zhang Shucai, Zhang Zaiyi
Published 2023-11-01
Cite as Chin J Surg, 2023, 61(11): 976-981. DOI: 10.3760/cma.j.cn112139-20230621-00241
Abstract
ObjectiveTo investigate the functional outcomes of posterior arthroscopic subtalar arthrodesis (PASTA) for adult patients presenting with symptomatic talocalcaneal coalition.
MethodsThe 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.
ResultsThe 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).
ConclusionPASTA for adult patients presenting with symptomatic talocalcaneal coalition offers advantages of minimal trauma,fast recovery,and few complications,which is an effective method.
Key words:
Calcaneus; Talus; Talocalcaneal coalition; Arthroscopic; Arthrodesis
Contributor Information
Hao Yunjia
Department of Hand and Foot Microsurgery,Xuzhou Central Hospital,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009,China
Wang Aiguo
Department of Hand and Foot Microsurgery,Xuzhou Central Hospital,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009,China
Lyu Zexiang
Department of Hand and Foot Microsurgery,Xuzhou Central Hospital,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009,China
Chang Buqing
Department of Hand and Foot Microsurgery,Xuzhou Central Hospital,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009,China
Fan Jiaqiang
Department of Hand and Foot Microsurgery,Xuzhou Central Hospital,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009,China
Tao Youlun
Department of Hand and Foot Microsurgery,Xuzhou Central Hospital,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009,China
Zhang Shucai
Department of Hand and Foot Microsurgery,Xuzhou Central Hospital,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009,China
Zhang Zaiyi
Department of Hand and Foot Microsurgery,Xuzhou Central Hospital,Xuzhou Clinical School of Xuzhou Medical University,Xuzhou 221009,China
