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العنوان
Open versus arthroscopic post traumatic
subtalar joint fusion :
المؤلف
Mohamed A. Mahmoud Ettawey,
هيئة الاعداد
باحث / Mohamed A. Mahmoud Ettawey
مشرف / Yasser Abd El Fattah Radwan
مشرف / Ali Mohamad Reda Mansour
مشرف / AbdAllah Mohamed Ahmed Elsayed
الموضوع
orthopedic and<br>traumatology
تاريخ النشر
2022.
عدد الصفحات
145 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
8/8/2022
مكان الإجازة
جامعة القاهرة - كلية الطب - orthopedic and traumatology
الفهرس
Only 14 pages are availabe for public view

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from 163

Abstract

A weight-bearing AP or mortise view combined with a lateral view is
sufficient to assess the foot and ankle. CT scans can also be used.
Non-operative treatment in the form of activity modification , weight loss,
NSAIDs ,steroid or hyaluronic acid injection may be helpful.
For patients who have failed non-operative management, subtalar arthrodesis
has long been an effective surgical option for treatment. Multiple techniques for
subtalar fusion have been described, Traditionally fusion has been an open
procedure however more recently arthroscopic arthrodesis has gained popularity
secondary to the decreased potential for complications, such as wound necrosis and
infection .
The present study results demonstrate that both open and arthroscopic
techniques are effective for the treatment of post traumatic subtalar joint
arthrodesis. The union rate was 100% in both technique but The union time was
significantly shorter in the open method.
Both open and arthroscopic techniques led to significant improvements in all
functional outcomes , including the American Orthopedic Foot & Ankle Society
(AOFAS) hind foot score , compared to the preoperative status; however, there
was no significant difference between the two techniques in these outcomes.
In the present study, the average operative time was shorter with the open
technique than with the arthroscopic technique ; however, the difference was not
significant.
Both arthroscopic and open subtalar arthrodesis are successful treatments for post traumatic subtalar arthritis and are associated with minimal complications.