Subtalar Fusion in Cerebral Palsy Patients Results of a New Technique Using Corticocancellous Allograft

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dc.contributor.authorSenaran, Hakan
dc.contributor.authorYilmaz, Guney
dc.contributor.authorNagai, Mary K.
dc.contributor.authorThacker, Mihir
dc.contributor.authorDabney, Kirk W.
dc.contributor.authorMiller, Freeman
dc.date.accessioned2020-03-26T18:16:20Z
dc.date.available2020-03-26T18:16:20Z
dc.date.issued2011
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground: Valgus deformity of the hindfoot in cerebral palsy (CP) patients is common and causes functional deterioration and shoe fitting problems together with skin ulcerations. Our aims in this study are, to present an intra-articular technique of subtalar fusion using allograft and internal fixation to achieve stabilization and second to report the results and clinical outcome of a series of intra-articular subtalar arthrodesis performed in CP children. Methods: We performed a retrospective review of radiographs and medical records of 145 children with CP who underwent intra-articular subtalar fusion from January 1994 to December 2004. The subtalar joint was fixed through the anterior facet with a cannulated screw whereas the anterior aspect of the calcaneus was parallel to the anterior aspect of the head of the talus. Tricortical iliac crest allograft was placed into the sinus tarsi and the denuded posterior facet area. Results are grouped as good, satisfactory, and poor according to the radiographic and clinical outcomes. Results: The mean age at the time of surgery was 12.7 years (range: 5 to 20 y) and the average follow-up was 4.8 years (range: 2 to 11 y). Good results were obtained in 242 feet (96%). Satisfactory results were obtained in 6 feet (2%) which were painless pseudoarthrosis of subtalar joint in 2 feet and screw removal was required in 4 feet because of pain. Nonunion of the subtalar joint together with recurrence of deformity was observed in 5 feet (2%) which is accepted as poor result and required revision surgery. No deep infections, implant failure, allograft failure were observed in a mean of 4.8 years. Conclusions: Our described technique of intra-articular subtalar joint fusion is safe and reliable in CP children with high rate of satisfactory results.en_US
dc.identifier.doi10.1097/BPO.0b013e3182092988en_US
dc.identifier.endpage210en_US
dc.identifier.issn0271-6798en_US
dc.identifier.issn1539-2570en_US
dc.identifier.issue2en_US
dc.identifier.pmid21307716en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage205en_US
dc.identifier.urihttps://dx.doi.org/10.1097/BPO.0b013e3182092988
dc.identifier.urihttps://hdl.handle.net/20.500.12395/26852
dc.identifier.volume31en_US
dc.identifier.wosWOS:000287190800018en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofJOURNAL OF PEDIATRIC ORTHOPAEDICSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectcerebral palsyen_US
dc.subjectsubtalar arthrodesisen_US
dc.subjectallograften_US
dc.titleSubtalar Fusion in Cerebral Palsy Patients Results of a New Technique Using Corticocancellous Allograften_US
dc.typeArticleen_US

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