2023 Annual Meeting Foot & Ankle Access Pass-Posterior Arthroscopic Subtalar Arthrodesis for Intra-Articular Displaced Calcaneus Fractures

Posterior Arthroscopic Subtalar Arthrodesis for Intra-Articular Displaced Calcaneus Fractures

Video Transcription

Video Summary

Kevin Martin from Ohio State presented on posterior arthroscopic subtalar arthrodesis (C-PASTA) for displaced intra-articular calcaneus fractures, particularly challenging Sanders 3 and 4 types. Traditional open arthrodesis has high fusion rates but hardware complications. Martin's arthroscopic approach uses a prone position, small scope, and arthroscopic bone grafting to achieve reduction and fusion with less invasiveness. Among 17 patients, 14 achieved fusion with improved functional scores and pain relief. Notably, 14 returned to labor-intensive work. Martin concludes C-PASTA is a safe, effective alternative offering high union rates, good pain control, and return-to-work potential for severe calcaneus fractures.

Asset Caption

Kevin D. Martin, D.O., FAANA

Keywords

posterior arthroscopic subtalar arthrodesis

displaced intra-articular calcaneus fractures

Sanders type 3 and 4 fractures

arthroscopic bone grafting

C-PASTA outcomes