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Extraarticular Subtalar Arthrodesis with Internal Fixation

1984; Lippincott Williams & Wilkins; Volume: 4; Issue: 5 Linguagem: Inglês

10.1097/01241398-198404050-00005

1539-2570

John A. Barrasso, Peter B. Wile, James R. Gage,

Foot and Ankle Surgery

Summary: Forty extraarticular subtalar arthrodeses with internal fixation were performed in 26 patients with cerebral palsy who had a mobile, paralytic planovalgus deformity. We assessed the correction achieved and maintained by evaluating the clinical status, improvement in gait, correction of deformity, and foot stability. Union was achieved in a mean interval of 10 weeks with no instance of mechanical failure of the fixation screw. At a mean follow-up of 30 months, 38 feet (95%) were rated excellent or good and two were rated fair. The advantages of this technique of extraarticular subtalar arthrodesis warrant continued use of this procedure.