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May 18

Treatment of Traumatic Subtalar Arthritis

Treatment of Traumatic Subtalar Arthritis With Interpositional Arthroplasty With Tensor Fascia Lata or Fat
Researchers evaluated the results of interpositional arthroplasty with tensor fascia lata or fat as a treatment for traumatic subtalar joint arthritis after a fracture of the calcaneus. Twenty-two patients with traumatic subtalar joint arthritis were enrolled in this study. Tensor fascia lata was implanted for 7 patients who previously underwent surgery by open ORIf using a lateral approach. Fat was implanted for 15 patients who were previously managed with conservative care or percutaneous reduction and fixation. All the patients were followed up for more than one year.

The AOFAS Ankle-Hindfoot score changed from 60.95 to 80.23 (p < 0.05). Visual Analogue Scale pain score decreased from 6.6 to 3.8 (p < 0.05). The results of the circle draw test were excellent in eight patients, good in 11, and fair in three without any poor outcomes. The subjective satisfaction of the patients was excellent in 16 patients, good in four, and poor in two. In two patients with poor satisfaction, symptoms and mobility showed no improvement postoperatively.

From the article of the same title
European Journal of Orthopaedic Surgery and Traumatology (04/12) Kim, Gab-Lae; Park, Jae-Yong; Hyun, Yun-Sook