Arthrodesis of the Subtalar joint
Principles
-
Indicated for mobile plano-valgus feet
Position
- supine
Surgical Technique
- Shoe top incision
- Pad of EDB & subcutaneous fat reflected to expose sinus tarsi
- Fat in sinus removed in one piece by sharp dissection
- Decortication of roof & floor of sinus but not in area where screw will pass
- Awl passed across neck of talus, through sinus into calcaneum directed laterally
- Screw inserted across sinus
- Bone then packed into sinus from iliac crest
- EDB replaced & skin closed
- BK walking POP 6-8 weeks
