Evidence map›Paper›PMID 36310559›Full record

ArticleIndian journal of orthopaedics2022

Modified Posterior 2-Portal Technique of Arthroscopic Subtalar Joint Arthrodesis: Improved Pain and Functional Outcome at Mean 15 Months Follow-up-A Case Series.

Nitesh Gahlot, Kishor Kunal, Abhay Elhence

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Article in Indian journal of orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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3 authors.

Nitesh GahlotDepartment of Orthopaedics, All India Institute of Medical Sciences (AIIMS), Jodhpur, 342005 Rajasthan India.ORCID 0000-0001-7352-5228
Kishor KunalDepartment of Orthopaedics, All India Institute of Medical Sciences (AIIMS), Jodhpur, 342005 Rajasthan India.
Abhay ElhenceDepartment of Orthopaedics, All India Institute of Medical Sciences (AIIMS), Jodhpur, 342005 Rajasthan India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Posterior arthroscopic subtalar joint arthrodesis (PASTA) via a posterior 2-portal technique has been described. We modified the surgical technique of creating the portals in the plane of the posterior facet (under fluoroscopy guidance) to enhance the ease of access to the joint, easier and complete removal of articular cartilage along with maintaining the heel height. Methods: Patients of post-traumatic subtalar joint arthritis, treated by PASTA during 2016 till 2019 were included in the study. Exclusion criteria: significant height collapse of calcaneum, lateral blow out or heel widening. The confirmation of subtalar joint as the source of pain was done by injection of local anaesthetic inside the joint under the image intensifier, bringing immediate pain relief. The primary outcome variables assessed were the pain and functional scores, assessed using visual analogue scale and AOFAS (American Orthopaedic Foot and Ankle Society) score, respectively. Results: The total of 16 patients (7 males, 9 females) was included. The average age was 40.68 years (23-58 years). The underlying pathology in all patients was post-traumatic subtalar arthritis secondary to calcaneus fracture malunion in 8 patients (50%), talus fracture malunion in 4 (25%) and ligament injury in 2 patients (12.5%). No bone grafting was done. The mean duration of follow-up was 15.6 months (9-24 months). There was a statistically significant improvement ( Conclusion: The posterior arthroscopic fusion of subtalar joint gives good results in terms of pain relief and functional scores when done for carefully selected patients of subtalar joint arthritis. Our slight modification of the original technique improves the ease of removing cartilage from subtalar joint with minimal height loss; thus, precluding any need for bone graft. It also makes the instrument movement easier inside the joint.

Indexed as

ArthrodesisArthroscopic fusionPosterior fusionSubtalar jointTwo portal

Identifiers

PMID36310559
PMCPMC9561449

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