Adult acquired flatfoot encompasses a wide range of deformities. The goal of surgical treatment of adult acquired flatfoot is to achieve proper alignment of the hindfoot and maintain as much flexibility as possible in the foot and ankle complex; nevertheless, if subtalar arthritis is present, subtalar arthrodesis is usually mandatory. A lateral approach over the sinus tarsi is performed and subtalar joint is prepared removing remaining cartilage, reduced up to 5 degrees of heel valgus, and stabilized with a Kirschner wire. The site of insertion of the corticocancellous bone graft, harvested from the ipsilateral proximal tibia, is prepared carving a vertical groove into the talar and calcaneal edges. Additional autologous cancellous chips, harvested from the proximal tibia, can be positioned and pressed with a beater into the sinus tarsi to enhance fusion. The technique described is a modification of the extra-articular arthrodesis originally proposed by Grice. mini bone block distraction subtalar arthrodesis is a simple and effective technique which permits a subtalar fusion with a restored orientation of the hindfoot and ankle alignment in acquired flatfoot with subtalar arthritis.

Massimiliano Mosca, S.C. (2019). Mini bone block distraction subtalar arthrodesis (Sambb) in the management of acquired adult flatfoot with subtalar arthritis: A modification to the grice–green procedure. JOINTS, 7(2), 64-69 [10.1055/s-0039-3400452].

Mini bone block distraction subtalar arthrodesis (Sambb) in the management of acquired adult flatfoot with subtalar arthritis: A modification to the grice–green procedure

Massimiliano Mosca;Silvio Caravelli
;
Francesca Vannini;Giuseppe Catanese;Simone Massimi;Mario Fuiano;Cesare Faldini;Sandro Giannini
2019

Abstract

Adult acquired flatfoot encompasses a wide range of deformities. The goal of surgical treatment of adult acquired flatfoot is to achieve proper alignment of the hindfoot and maintain as much flexibility as possible in the foot and ankle complex; nevertheless, if subtalar arthritis is present, subtalar arthrodesis is usually mandatory. A lateral approach over the sinus tarsi is performed and subtalar joint is prepared removing remaining cartilage, reduced up to 5 degrees of heel valgus, and stabilized with a Kirschner wire. The site of insertion of the corticocancellous bone graft, harvested from the ipsilateral proximal tibia, is prepared carving a vertical groove into the talar and calcaneal edges. Additional autologous cancellous chips, harvested from the proximal tibia, can be positioned and pressed with a beater into the sinus tarsi to enhance fusion. The technique described is a modification of the extra-articular arthrodesis originally proposed by Grice. mini bone block distraction subtalar arthrodesis is a simple and effective technique which permits a subtalar fusion with a restored orientation of the hindfoot and ankle alignment in acquired flatfoot with subtalar arthritis.
2019
Massimiliano Mosca, S.C. (2019). Mini bone block distraction subtalar arthrodesis (Sambb) in the management of acquired adult flatfoot with subtalar arthritis: A modification to the grice–green procedure. JOINTS, 7(2), 64-69 [10.1055/s-0039-3400452].
Massimiliano Mosca, Silvio Caravelli, Francesca Vannini, Camilla Pungetti, Giuseppe Catanese, Simone Massimi, Mario Fuiano, Cesare Faldini, Sandro Gia...espandi
File in questo prodotto:
File Dimensione Formato  
Mini Bone Block Distraction Subtalar.pdf

accesso aperto

Tipo: Versione (PDF) editoriale
Licenza: Licenza per Accesso Aperto. Creative Commons Attribuzione - Non commerciale - Non opere derivate (CCBYNCND)
Dimensione 521.87 kB
Formato Adobe PDF
521.87 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/718661
Citazioni
  • ???jsp.display-item.citation.pmc??? 3
  • Scopus 11
  • ???jsp.display-item.citation.isi??? ND
social impact