Advertisement

Spontaneous Subtalar Fusion: An Irreversible Complication of Subtalar Arthroereisis

  • Tun Hing Lui
    Correspondence
    Address correspondence to: Tun Hing Lui, MBBS (HK), FRCS (Edin), FHKAM, FHKCOS, Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui, New Territory, Hong Kong SAR, China.
    Affiliations
    Consultant, Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, New Territory, Hong Kong Special Administration Region, China
    Search for articles by this author

      Abstract

      Subtalar arthroereisis has been used for the treatment of symptomatic flexible flatfoot deformities in both pediatric and adult patients. Chronic sinus tarsi pain is the most common complication of this procedure and can be relieved by removal of the implant. We describe a case of spontaneous fusion of the subtalar joint after arthroereisis. This is an irreversible complication that should be described to the patient as a rare, but possible, outcome of arthroereisis of the subtalar joint.

      Level of Clinical Evidence

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal of Foot and Ankle Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • 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
        • Jay R.M.
        • Din N.
        Correcting pediatric flatfoot with subtalar arthroereisis and gastrocnemius recession: a retrospective study.
        Foot Ankle Spec. 2013; 6: 101-107
        • Baker J.R.
        • Klein E.E.
        • Weil Jr., L.
        • Weil Sr., L.S.
        • Knight J.M.
        Retrospective analysis of the survivability of absorbable versus nonabsorbable subtalar joint arthroereisis implants.
        Foot Ankle Spec. 2013; 6: 36-44
        • van Ooij B.
        • Vos C.J.S.
        • Saouti R.
        Arthroereisis of the subtalar joint: an uncommon complication and literature review.
        J Foot Ankle Surg. 2012; 51: 114-117
        • Corpuz M.
        • Shofler D.
        • Labovitz J.
        • Hodor L.
        • Yu K.
        Fracture of the talus as a complication of subtalar arthroereisis.
        J Foot Ankle Surg. 2012; 51: 91-94
        • Christensen J.C.
        • Campbell N.
        • DiNucci K.
        Closed kinetic chain tarsal mechanics of subtalar joint arthroereisis.
        J Am Podiatr Med Assoc. 1996; 86: 467-473
        • Arangio G.A.
        • Reinert K.L.
        • Salathe E.P.
        A biomechanical model of the effect of subtalar arthroereisis on the adult flexible flat foot.
        Clin Biomech. 2004; 19: 847-852
        • Yen-Douangmala D.
        • Vartivarian M.
        • Choung J.D.
        Subtalar arthroereisis and its role in pediatric and adult population.
        Clin Podiatr Med Surg. 2012; 29: 383-390
        • Metcalfe S.A.
        • Bowling F.L.
        • Reeves N.D.
        Subtalar joint arthroereisis in the management of pediatric flexible flatfoot: a critical review of the literature.
        Foot Ankle Int. 2011; 32: 1127-1139
        • Oloff L.M.
        • Naylor B.L.
        • Jacobs A.M.
        Complications of subtalar arthroereisis.
        J Foot Surg. 1987; 26: 136-140
        • Scharer B.M.
        • Black B.E.
        • Sockrider N.
        Treatment of painful pediatric flatfoot with Maxwell-Brancheau subtalar arthroereisis implant a retrospective radiographic review.
        Foot Ankle Spec. 2010; 3: 67-72
        • 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
        • Lui T.H.
        Endoscopic assisted posterior tibial tendon reconstruction for stage 2 posterior tibial tendon insufficiency.
        Knee Surg Sports Traumatol Arthrosc. 2007; 15: 1228-1234
        • 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
        • Giannini S.
        • Ceccarelli F.
        • Vannini F.
        • Baldi E.
        Operative treatment of flatfoot with talocalcaneal coalition.
        Clin Orthop Relat Res. 2003; 411: 178-187
        • Fernandez de Retana P.
        • Alvarez F.
        • Bacca G.
        Is there a role for subtalar arthroereisis in the management of adult acquired flatfoot?.
        Foot Ankle Clin. 2012; 17: 271-281
        • 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
        • Mosca V.S.
        Flexible flatfoot in children and adolescents.
        J Child Orthop. 2010; 4: 107-121
        • 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
        • Lui T.H.
        • Chan K.B.
        Endoscopic distal soft tissue procedure in hallux valgus surgery.
        Arthroscopy. 2005; 21: 1403.e1-1403.e7
        • Lui T.H.
        • Chan K.B.
        • Chow H.T.
        • Ma C.M.
        • Ngai W.K.
        Arthroscopy-assisted correction of hallux valgus deformity.
        Arthroscopy. 2008; 24: 875-880
        • Kellermann P.
        • Roth S.
        • Gion K.
        • Boda K.
        • Tóth K.
        Calcaneo-stop procedure for paediatric flexible flatfoot.
        Arch Orthop Trauma Surg. 2011; 131: 1363-1367
        • Hazany S.
        • Ly N.
        • Hazany D.
        • Bader S.
        • Ostuka N.
        Outcomes of subtalar arthroereisis for the planovalgus foot.
        J Surg Orthop Adv. 2012; 21: 147-150
        • 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
        • Cook E.A.
        • Cook J.J.
        • Basile P.
        Identifying risk factors in subtalar arthroereisis explantation: a propensity-matched analysis.
        J Foot Ankle Surg. 2011; 50: 395-401

      Linked Article

      • Subtalar Fusion and Arthroereisis
        The Journal of Foot and Ankle SurgeryVol. 55Issue 4
        • Preview
          I read with interest the report by Liu, titled “Spontaneous Subtalar Fusion: An Irreversible Complication of Subtalar Arthroereisis” (J Foot Ankle Surg 53:652–656, 2014). Reporting surgical complications is very important to educate surgeons of a potential negative situation, understand what led to the problem, identify errors on the part of the physician and/or patient, avoid or prevent its recurrence, and, once identified, take proper early action to correct the condition. The case described in the report by Liu is one in which, I believe, the complication could have (and should have) been prevented if the treating surgeon had recognized the malposition of the sinus tarsi implant, which is clearly shown in Fig. 3D of the report.
        • Full-Text
        • PDF