total talar arthrodesis

Total talus arthrodesis is used for the treatment of sequelae of polio. Total talar arthrodesis refers to the fusion of the distance, the distance from the boat, the subtalar and the Achilles tendon. For the sacral foot with quadriceps paralysis, full talar arthrodesis may be required to relieve the need for long leg brace. The ideal child with this procedure should have a squat and a sputum and the muscles around the hip and knee joints are normal. Absolute prerequisites for this procedure include: strong gluteus maximus, normal knee alignment and full extension or overstretching a few degrees. Treatment of diseases: talus fracture and dislocation Indication Total talar arthrodesis is suitable for the treatment of subtalar and middle iliac arthritis with high bow varus and high bow varus deformity and talus forward subluxation. Preoperative preparation Regular preoperative examination. Surgical procedure Hoke-Kite method: 1. The incision is located between the long iliac crest and the third metatarsal muscle, starting from the posterior inferior aspect of the talus and below the end of the tibia. The adipose tissue in the talus is dissected and the soft tissue above the talus is removed. From the outside, the ligament is cut with a knife from the outside to the talar head, and the talus is separated from the scaphoid. Then use the osteotome to remove part of the talar articular surface and the adjacent articular surface of the calcaneus to disconnect the talus, the neck and the body. Remove the soft tissue attached and remove it. Remove the scaphoid articular surface and the heel with a small bone chisel. The facet joint above the bone. 2. Correct the lateral and rotational deformities of the foot, adjust the calcaneus to achieve a satisfactory alignment, and shift the foot afterwards if necessary. The talus head of the decared cartilage is re-implanted between the talar body and the scaphoid, and the placement position of the talar head is determined according to the type and degree of the deformity, so that the foot is slightly dorsiflexed. Finally, use a Sterling needle, a staple or a screw to fix the position. Fix with a short leg plaster support.