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    Subtalar distraction arthrodesis is advocated as a salvage procedure for isolated posttraumatic subtalar arthritis. This study aimed at evaluating combined subtalar distraction arthrodesis with peroneus brevis tenotomy for such cases. Twenty patients with isolated posttraumatic subtalar arthritis managed by combined subtalar distraction arthrodesis and peroneus brevis tenotomy were reviewed for a retrospective study. The American orthopaedic foot and ankle society [AOFAS] hindfoot scoring, talocalcaneal height [TCH], talocalcaneal angle [TCA] and heel valgus angle [HVA] were used for both pre and postoperative assessments. The mean postoperative [TCH] [70.3±1.9mm] was statistically better than the preoperative value [64.7±2.2mm] [p<0.001]. There was a statistically significant decrease in [HVA] [p<0.001]. On the contrary, there was a statistically significant increase in both [AOFAS] hindfoot scoring and the [TCA] [p<0.001]. Applying this technique for isolated posttraumatic subtalar arthritis with peroneal tendinitis improved both lateral retromalleolar swelling and deformity correction. Copyright © 2019 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.


    Ahmed Fathy Sadek, Ezzat Hassan Fouly, Amr Mohammed Soliman. Combined subtalar distraction arthrodesis with peroneus brevis tenotomy for posttraumatic subtalar arthritis. Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons. 2020 Aug;26(6):687-692

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    PMID: 31492519

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