Isolated Subtalar Arthrodesis for Avascular Necrosis of the Talus.

Journal Article (Journal Article)

Isolated subtalar arthrodesis has been attempted in talar avascular necrosis (AVN) patients to preserve the tibiotalar joint and potential revascularization. This article reports the efficacy of isolated subtalar arthrodesis in the setting of AVN. A retrospective review of subtalar arthrodeses was performed on a cohort of 12 patients with talar AVN who underwent subtalar arthrodesis. The primary outcome was radiographic fusion with secondary outcomes of subsequent procedures, recurrent pain, and perioperative complications. Radiographic fusion of subtalar arthrodesis occurred in 12 of 12 patients. Five of six patients with traumatic etiology went on to have secondary procedures. One of six patients with atraumatic etiology underwent a secondary procedure for advancement of tibiotalar arthritis. In the setting of atraumatic talar AVN, this small cohort demonstrates that isolated subtalar arthrodesis is a safe and reliable procedure with high fusion rates and low need for secondary procedures. (Journal of Surgical Orthopaedic Advances 28(2):132-136, 2019).

Full Text

Duke Authors

Cited Authors

  • Dekker, TJ; Pellegrini, MJ; Schiff, AP; Easley, ME; DeOrio, JK; Nunley, JA; Adams, SB

Published Date

  • 2019

Published In

Volume / Issue

  • 28 / 2

Start / End Page

  • 132 - 136

PubMed ID

  • 31411959

International Standard Serial Number (ISSN)

  • 1548-825X


  • eng

Conference Location

  • United States