Tips, Quips, and Pearls| Volume 51, ISSUE 6, P820-824, November 2012

Distraction Arthrodesis of Subtalar Joint Using a Laterally Placed Hinged Distractor

  • Naohiro Shibuya
    Address correspondence to: Naohiro Shibuya, DPM, MS, FACFAS, Associate Professor of Surgery, Texas A&M Health Science Center, College of Medicine, 1901 South Veterans Memorial Boulevard, Temple, TX 76504.
    Associate Professor of Surgery, Texas A&M Health and Science Center, College of Medicine; Acting Chief, Section of Podiatry, Department of Surgery, Central Texas VA Health Care System; Staff, Scott and White Memorial Hospital and Clinics, Temple, TX
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  • Monica R. Agarwal
    Assistant Professor of Surgery, Texas A&M Health and Science Center, College of Medicine; Staff, Section of Podiatry, Department of Surgery, Central Texas VA Health Care System, Temple, TX
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Published:September 13, 2012DOI:


      Many joint-depressive, neglected calcaneal fractures need distraction arthrodesis of the subtalar joint. Because the calcaneal tuberosity is usually malunited in the varus position, more distraction is required on the medial side to place the tuberosity in the everted position before insertion of a bone graft. Traditionally, a distractor is placed on the medial side to achieve this task. However, the medially placed distractor hinders with the positioning of the extremity and exposure of the main operative site, which is commonly on the lateral side. We introduce a technique to avoid this burden by placing a hinged distractor device on the lateral aspect of the foot while maintaining the correction of the varus deformity.


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