Technique Tip: Subtalar Joint Fusion Using a Parallel Guide and Double Screw Fixation

• Published in: The Journal of foot and ankle surgery Vol. 49; no. 3; pp. 305 - 309
• Main Authors: Scanlan, Rick L., DPM, Burns, Patrick R., DPM, Crim, Brandon E., DPM
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-05-2010; Elsevier
• Subjects: arthrodesis; Arthrodesis - instrumentation; Arthrodesis - methods; Biological and medical sciences; Bone Screws; calcaneus; Calcaneus - surgery; Diseases of the osteoarticular system; Female; Fracture Fixation, Internal - instrumentation; Fracture Fixation, Internal - methods; Fracture Healing - physiology; Humans; interfragmental compression; lag screw; Male; Medical sciences; Orthopedic surgery; Orthopedics; osteosynthesis; Prognosis; Risk Assessment; Subtalar Joint - surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; talus; Talus - surgery; Treatment Outcome; interfragmental compression; arthrodesis; calcaneus; talus; osteosynthesis; lag screw; Compression; Heel; Osteosynthesis; Calcaneum; Astragalus; Foot; Fixation; Treatment; Screw; Subtalar; Surgery; Orthopedics; Arthrodesis; Technique
• ISSN: 1067-2516; 1542-2224
• DOI: 10.1053/j.jfas.2010.02.017

Abstract A wide range of techniques has been described to achieve subtalar (talocalcaneal) arthrodesis using interfragmental screw fixation. In this technical report, we describe a method that enables us to accurately position 2 screws across the subtalar joint in order to achieve arthrodesis between the talus and calcaneus. Careful attention to the tips described in this report should minimize the risk of aberrant placement of the screws while expediting the process of osteosynthesis.