Subtalar Arthrodesis Using Interposition Iliac Crest Bone Graft after Calcaneal Fracture

Fifteen consecutive patients with hindfoot pain after calcaneal fracture underwent subtalar arthrodesis using interposition iliac crest bone graft. Outcome and correction of calcaneal collapse were assessed before and after surgery with clinical examination, visual analogue scores, and standard x-rays while weightbearing. Eleven of the 15 patients were satisfied with the procedure. There were four failures due to transverse tarsal joint arthritis, overcorrection, and reflex sympathetic dystrophy. Radiographic examination revealed restoration of heel height, with 100% union rate of the arthrodesis. The described technique allows arthrodesis and correction of calcaneal collapse after calcaneal fracture.

Download Full-text

Minimally invasive subtalar arthrodesis for traumatic subtalar arthritis

Journal of International Medical Research ◽

10.1177/0300060519847814 ◽

2019 ◽

Vol 47 (12) ◽

pp. 6129-6138 ◽

Cited By ~ 1

Author(s):

Lei Sun ◽

Zhigang Kong ◽

Ming Xu

Keyword(s):

Blood Loss ◽

Minimally Invasive ◽

Bone Graft ◽

Iliac Crest ◽

Operation Time ◽

Iliac Crest Bone Graft ◽

Intraoperative Blood Loss ◽

Subtalar Arthrodesis ◽

Subtalar Arthritis ◽

The Mean

Objective This study was performed to introduce a new method of minimally invasive subtalar arthrodesis (MISA) and assess its clinical effects on traumatic subtalar arthritis (TSA). Methods Fifteen patients (8 male and 7 female; age range, 36–56 years; mean age, 48.67 years) with TSA who underwent MISA were included. All patients were treated using a series instrument. The intraoperative and postoperative indexes were recorded. Results Among all patients, the mean operation time was 59.67 ± 16.31 minutes and the mean intraoperative blood loss was 43.33 ± 52.87 mL. Four patients underwent iliac crest bone graft surgery, and one patient developed a complication involving fat liquefaction of the iliac crest wound. The mean bony fusion time among all patients was 3.5 months. According to the American Orthopaedic Foot and Ankle Society standard, an excellent outcome was obtained in eight patients and a good outcome was obtained in seven patients. The operation time and intraoperative blood loss were significantly different between patients who did and did not undergo iliac crest bone graft surgery. Conclusion MISA is a simple and effective method for the treatment of TSA.

Download Full-text

Surgical reconstruction of the anterolateral acromion with a tricortical iliac crest bone graft after extensive acromioplasty

Obere Extremität ◽

10.1007/s11678-021-00624-1 ◽

2021 ◽

Author(s):

Anna-K. Tross ◽

Philip-C. Nolte ◽

Markus Loew ◽

Marc Schnetzke ◽

Sven Lichtenberg

Keyword(s):

Case Report ◽

Bone Graft ◽

Iliac Crest ◽

Deltoid Muscle ◽

Shoulder Surgery ◽

Surgical Reconstruction ◽

Iliac Crest Bone Graft ◽

Subacromial Decompression ◽

Arthroscopic Shoulder Surgery

AbstractSubacromial decompression is one of the most frequently performed procedures in the setting of arthroscopic shoulder surgery and typically includes acromioplasty. However, the indication for acromioplasty remains a subject of debate. Possible complications involve deltoid muscle insufficiency due to an excessive removal of the anterior acromion. This case report is intended to draw attention to this particular complication and its management.

Download Full-text