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Subtalar Joint Distraction Arthrodesis to Correct Calcaneal Valgus in Pediatric Patients with Tarsal Coalition: A Case Series.
J Foot Ankle Surg. 2015 Nov-Dec; 54(6):1151-7.JF

Abstract

Subtalar joint middle facet coalitions commonly present in children who have a painful, rigid, pes planovalgus foot type. The middle facet coalition allows rearfoot forces to be distributed medially through the coalition, and this can result in arthritis or lateral tarsal wedging. The senior author has used a wedged bone graft distraction subtalar joint arthrodesis to correct calcaneal valgus and restore the talar height in these patients. The tight, press-fit nature of the tricortical iliac crest allograft provides stability and can negate the need for internal fixation. We retrospectively reviewed 9 pediatric subtalar joint distraction arthrodesis procedures performed on 8 patients during a 6-year period. All patients began weightbearing at 6 weeks after surgery. All patients had osseous union, and no complications developed that required a second surgery. The clinical outcomes, assessed at a mean of 25.5 (range, 6.3 to 75.8) months postoperatively, were satisfactory. The mean American Orthopaedic Foot and Ankle Society score was 90.1 (range, 79 to 94), on a 94-point scale. The wedged distraction arthrodesis technique has not been previously described for correction of pediatric patients with lateral tarsal wedging, but it is an effective option and yields successful outcomes.

Authors+Show Affiliations

Department of Podiatry, DeKalb Medical Center, Decatur, GA. Electronic address: schwartz.jaclyn.m@gmail.com.Department of Podiatry, DeKalb Medical Center, Decatur, GA.Department of Podiatry, DeKalb Medical Center, Decatur, GA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25704449

Citation

Schwartz, Jaclyn M., et al. "Subtalar Joint Distraction Arthrodesis to Correct Calcaneal Valgus in Pediatric Patients With Tarsal Coalition: a Case Series." The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, vol. 54, no. 6, 2015, pp. 1151-7.
Schwartz JM, Kihm CA, Camasta CA. Subtalar Joint Distraction Arthrodesis to Correct Calcaneal Valgus in Pediatric Patients with Tarsal Coalition: A Case Series. J Foot Ankle Surg. 2015;54(6):1151-7.
Schwartz, J. M., Kihm, C. A., & Camasta, C. A. (2015). Subtalar Joint Distraction Arthrodesis to Correct Calcaneal Valgus in Pediatric Patients with Tarsal Coalition: A Case Series. The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons, 54(6), 1151-7. https://doi.org/10.1053/j.jfas.2014.09.036
Schwartz JM, Kihm CA, Camasta CA. Subtalar Joint Distraction Arthrodesis to Correct Calcaneal Valgus in Pediatric Patients With Tarsal Coalition: a Case Series. J Foot Ankle Surg. 2015 Nov-Dec;54(6):1151-7. PubMed PMID: 25704449.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Subtalar Joint Distraction Arthrodesis to Correct Calcaneal Valgus in Pediatric Patients with Tarsal Coalition: A Case Series. AU - Schwartz,Jaclyn M, AU - Kihm,Carl A, AU - Camasta,Craig A, Y1 - 2015/02/19/ PY - 2013/07/06/received PY - 2015/2/24/entrez PY - 2015/2/24/pubmed PY - 2016/8/2/medline KW - bone block distraction KW - calcaneus KW - lateral tarsal wedging KW - middle facet coalition KW - pes planovalgus KW - subtalar joint fusion SP - 1151 EP - 7 JF - The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons JO - J Foot Ankle Surg VL - 54 IS - 6 N2 - Subtalar joint middle facet coalitions commonly present in children who have a painful, rigid, pes planovalgus foot type. The middle facet coalition allows rearfoot forces to be distributed medially through the coalition, and this can result in arthritis or lateral tarsal wedging. The senior author has used a wedged bone graft distraction subtalar joint arthrodesis to correct calcaneal valgus and restore the talar height in these patients. The tight, press-fit nature of the tricortical iliac crest allograft provides stability and can negate the need for internal fixation. We retrospectively reviewed 9 pediatric subtalar joint distraction arthrodesis procedures performed on 8 patients during a 6-year period. All patients began weightbearing at 6 weeks after surgery. All patients had osseous union, and no complications developed that required a second surgery. The clinical outcomes, assessed at a mean of 25.5 (range, 6.3 to 75.8) months postoperatively, were satisfactory. The mean American Orthopaedic Foot and Ankle Society score was 90.1 (range, 79 to 94), on a 94-point scale. The wedged distraction arthrodesis technique has not been previously described for correction of pediatric patients with lateral tarsal wedging, but it is an effective option and yields successful outcomes. SN - 1542-2224 UR - https://www.unboundmedicine.com/medline/citation/25704449/Subtalar_Joint_Distraction_Arthrodesis_to_Correct_Calcaneal_Valgus_in_Pediatric_Patients_with_Tarsal_Coalition:_A_Case_Series_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1067-2516(14)00485-2 DB - PRIME DP - Unbound Medicine ER -