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Arthroereisis of the Subtalar Joint: An Uncommon Complication and Literature Review

Published:September 28, 2011DOI:https://doi.org/10.1053/j.jfas.2011.08.004

      Abstract

      Arthroereisis is an operation to prevent abnormal pronation in the subtalar joint in children and adults with symptomatic flexible flatfeet. In the present report, we describe an uncommon late complication of a former variation of this procedure, namely the case of an adult male who experienced migration of a xenogeneic bone graft that had been implanted 55 years earlier. A thorough review of the existing data was also undertaken to better understand the complications of this procedure.

      Level of Clinical Evidence

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      References

        • Giannini B.S.
        • Ceccarelli F.
        • Benedetti M.G.
        • Catani F.
        • Faldini C.
        Surgical treatment of flexible flatfoot in children: a four-year follow-up study.
        J Bone Joint Surg Am 83 (2 suppl 2). 2001; : S73-S79
        • Harris E.J.
        • Vanore J.V.
        • Thomas J.L.
        • Kravitz S.R.
        • Mendelson S.A.
        • Mendicino R.W.
        • Silvani S.H.
        • Gassen S.C.
        Diagnosis and treatment of pediatric flatfoot.
        J Foot Ankle Surg. 2004; 43: 341-373
        • Hefti F.
        [Foot pain].
        Orthopade. 1999; 28: 173-179
        • Lee M.S.
        • Vanore J.V.
        • Thomas J.L.
        • Catanzariti A.R.
        • Kogler G.
        • Kravitz S.R.
        • Miller S.J.
        • Gassen S.C.
        Diagnosis and treatment of adult flatfoot.
        J Foot Ankle Surg. 2005; 44: 78-113
        • Viladot A.
        Surgical treatment of the child's flatfoot.
        Clin Orthop Relat Res. 1992; 283: 34-38
        • Carranza-Bencano A.
        • Zamora-Navas P.
        • Fernandez-Velazquez J.R.
        Viladot's operation in the treatment of the child's flatfoot.
        Foot Ankle Int. 1997; 18: 544-549
        • Miller G.R.
        The operative treatment of hypermobile flatfeet in the young child.
        Clin Orthop Relat Res. 1977; 122: 95-101
        • Smith S.D.
        • Millar E.A.
        Arthroereisis by means of a subtalar polyethylene peg implant for correction of hindfoot pronation in children.
        Clin Orthop Relat Res. 1983; 181: 15-23
        • Maxwell J.R.
        • Cerniglia M.W.
        Subtalar joint arthroereisis.
        in: Banks A.S. Downey M.S. Martin D.E. Miller S.J. McGlamry's Comprehensive Textbook of Foot and Ankle Surgery. ed 3. Lippincott Williams & Wilkins, Philadelphia2001: 901-914
        • Schon L.C.
        Subtalar arthroereisis: a new exploration of an old concept.
        Foot Ankle Clin. 2007; 12 (vii): 329-339
        • Chambers E.F.
        An operation for correction of flexible flatfeet of adolescents.
        West J Surg Obstet Gynecol. 1946; 54: 77-86
        • Giannini S.
        • Girolami M.
        • Ceccarelli F.
        The surgical treatment of infantile flat foot: a new expanding endo-orthotic implant.
        Ital J Orthop Traumatol. 1985; 11: 315-322
        • Jerosch J.
        • Schunck J.
        • Abdel-Aziz H.
        The stop screw technique—a simple and reliable method in treating flexible flatfoot in children.
        Foot Ankle Surg. 2009; 15: 174-178
        • Roth S.
        • Sestan B.
        • Tudor A.
        • Ostojic Z.
        • Sasso A.
        • Durbesic A.
        Minimally invasive calcaneo-stop method for idiopathic, flexible pes planovalgus in children.
        Foot Ankle Int. 2007; 28: 991-995
        • Needleman R.L.
        Current topic review: subtalar arthroereisis for the correction of flexible flatfoot.
        Foot Ankle Int. 2005; 26: 336-346
        • Needleman R.L.
        A surgical approach for flexible flatfeet in adults including a subtalar arthroereisis with the MBA sinus tarsi implant.
        Foot Ankle Int. 2006; 27: 9-18
        • Zaret D.I.
        • Myerson M.S.
        Arthroereisis of the subtalar joint.
        Foot Ankle Clin. 2003; 8: 605-617
        • Crawford A.H.
        • Gabriel K.R.
        Foot and ankle problems.
        Orthop Clin North Am. 1987; 18: 649-666
        • Dockery G.L.
        • Crawford M.E.
        The Maxwell-Brancheau arthroereisis (MBA) implant in pediatric and adult flexible flatfoot conditions.
        Foot Ankle Q. 1999; 12: 107-120
        • Grady J.F.
        • Dinnon M.W.
        Subtalar arthroereisis in the neurologically normal child.
        Clin Podiatr Med Surg. 2000; 17: 443-457
        • Kuwada G.T.
        • Dockery G.L.
        Complications following traumatic incidents with STA-Peg procedures.
        J Foot Surg. 1988; 27: 236-239
        • Lepow G.M.
        • Smith S.D.
        A modified subtalar arthroereisis implant for the correction of flexible flatfoot in children: the STA-Peg procedure.
        Clin Podiatr Med Surg. 1989; 6: 585-590
        • Lombardi C.M.
        • Silver L.M.
        • Silhanek A.D.
        • Connolly F.G.
        • Ramcharitar S.I.
        Treatment of congenital convex pes valgus with navicular excision and subtalar arthroereisis: a case study.
        J Foot Ankle Surg. 2001; 40: 166-171
        • Maxwell J.R.
        • Carro A.
        • Sun C.
        Use of the Maxwell-Brancheau arthroereisis implant for the correction of posterior tibial tendon dysfunction.
        Clin Podiatr Med Surg. 1999; 16: 479-489
        • Oloff L.M.
        • Naylor B.L.
        • Jacobs A.M.
        Complications of subtalar arthroereisis.
        J Foot Surg. 1987; 26: 136-140
        • Rockett A.K.
        • Mangum G.
        • Mendicino S.S.
        Bilateral intraosseous cystic formation in the talus: a complication of subtalar arthroereisis.
        J Foot Ankle Surg. 1998; 37: 421-425
        • Siff T.E.
        • Granberry W.M.
        Avascular necrosis of the talus following subtalar arthroereisis with a polyethylene endoprosthesis: a case report.
        Foot Ankle Int. 2000; 21: 247-249
        • Smith P.A.
        • Millar E.A.
        • Sullivan R.C.
        STA-Peg arthroereisis for treatment of the planovalgus foot in cerebral palsy.
        Clin Podiatr Med Surg. 2000; 17: 459-469
        • Smith S.D.
        • Wagreich C.R.
        Review of postoperative results of the subtalar arthroereisis operation: a preliminary study.
        J Foot Surg. 1984; 23: 253-260
        • Tompkins M.H.
        • Nigro J.S.
        • Mendicino S.
        The Smith STA-Peg: a 7-year retrospective study.
        J Foot Ankle Surg. 1993; 32: 27-33
        • Vedantam R.
        • Capelli A.M.
        • Schoenecker P.L.
        Subtalar arthroereisis for the correction of planovalgus foot in children with neuromuscular disorders.
        J Pediatr Orthop. 1998; 18: 294-298
        • Verheyden F.
        • Vanlommel E.
        • Van der Bauwhede J.
        • Fabry G.
        • Molenaers G.
        The sinus tarsi spacer in the operative treatment of flexible flat feet.
        Acta Orthop Belg. 1997; 63: 305-309
        • Forg P.
        • Feldman K.
        • Flake E.
        • Green D.R.
        Flake-Austin modification of the STA-Peg arthroereisis: a retrospective study.
        J Am Podiatr Med Assoc. 2001; 91: 394-405
        • Roye Jr., D.P.
        • Raimondo R.A.
        Surgical treatment of the child's and adolescent's flexible flatfoot.
        Clin Podiatr Med Surg. 2000; 17 (viii): 515
        • Viladot R.
        • Pons M.
        • Alvarez F.
        • Omana J.
        Subtalar arthroereisis for posterior tibial tendon dysfunction: a preliminary report.
        Foot Ankle Int. 2003; 24: 600-606
        • Koning P.M.
        • Heesterbeek P.J.
        • de Visser E.
        Subtalar arthroereisis for pediatric flexible pes planovalgus: fifteen years' experience with the cone-shaped implant.
        J Am Podiatr Med Assoc. 2009; 99: 447-453
        • Lanham Jr., R.H.
        Indications and complications of arthroereisis in hypermobile flatfoot.
        J Am Podiatry Assoc. 1979; 69: 178-185
        • Scher D.M.
        • Bansal M.
        • Handler-Matasar S.
        • Bohne W.H.
        • Green D.W.
        Extensive implant reaction in failed subtalar joint arthroereisis: report of two cases.
        HSS J. 2007; 3: 177-181
        • Smith S.D.
        • Ocampo R.F.
        Subtalar arthroereisis and associated procedures.
        Clin Podiatr Med Surg. 1997; 14: 87-98
        • Chang T.J.
        • Lee J.
        Subtalar joint arthroereisis in adult-acquired flatfoot and posterior tibial tendon dysfunction.
        Clin Podiatr Med Surg. 2007; 24 (viii): 687-697
        • Giza E.
        • Cush G.
        • Schon L.C.
        The flexible flatfoot in the adult.
        Foot Ankle Clin. 2007; 12: 251-271
        • Soomekh D.J.
        • Baravarian B.
        Pediatric and adult flatfoot reconstruction: subtalar arthroereisis versus realignment osteotomy surgical options.
        Clin Podiatr Med Surg. 2006; 23: 695-708