الفهرس | Only 14 pages are availabe for public view |
Abstract A weight-bearing AP or mortise view combined with a lateral view is sufficient to assess the foot and ankle. CT scans can also be used. Non-operative treatment in the form of activity modification , weight loss, NSAIDs ,steroid or hyaluronic acid injection may be helpful. For patients who have failed non-operative management, subtalar arthrodesis has long been an effective surgical option for treatment. Multiple techniques for subtalar fusion have been described, Traditionally fusion has been an open procedure however more recently arthroscopic arthrodesis has gained popularity secondary to the decreased potential for complications, such as wound necrosis and infection . The present study results demonstrate that both open and arthroscopic techniques are effective for the treatment of post traumatic subtalar joint arthrodesis. The union rate was 100% in both technique but The union time was significantly shorter in the open method. Both open and arthroscopic techniques led to significant improvements in all functional outcomes , including the American Orthopedic Foot & Ankle Society (AOFAS) hind foot score , compared to the preoperative status; however, there was no significant difference between the two techniques in these outcomes. In the present study, the average operative time was shorter with the open technique than with the arthroscopic technique ; however, the difference was not significant. Both arthroscopic and open subtalar arthrodesis are successful treatments for post traumatic subtalar arthritis and are associated with minimal complications. |