2 research outputs found
Isolated Subtalar Distraction Arthrodesis Using Porous Tantalum: A Pilot Study
Background: During reconstructive procedures of the hindfoot, a
structural graft is often needed to fill gaps. To eliminate donor site
morbidity and limited availability of autografts, porous tantalum was
used.
Methods: Eighteen patients who underwent subtalar joint distraction
arthrodesis by means of trabecular metal augment were reviewed
retrospectively. The results were evaluated clinically, with the
American Orthopaedic Foot & Ankle Society (AOFAS) score and the visual
analog scale (VAS) for pain, and were assessed radiologically. The mean
follow-up period was 18 months.
Results: Computed tomography showed sound fusion. There was a marked
increase in AOFAS scores and a decrease in VAS scores. Arthrodesis was
achieved in all cases with no major postoperative complications.
Radiographically, there was a marked increase in all measured parameters
(talocalcaneal angle, talocalcaneal height, talar declination angle),
and the intraoperatively achieved correction was maintained at the last
follow-up visit.
Conclusion: Our data suggest that porous tantalum may be used as a
structural graft option for subtalar arthrodesis