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Retrospective analysis of the survivability of absorbable versus nonabsorbable subtalar joint arthroereisis implants
- Source :
- Footankle specialist. 6(1)
- Publication Year :
- 2012
-
Abstract
- Subtalar joint arthroereisis is a surgical modality that has been shown to be an effective procedure for flexible flatfoot in both pediatric and adult populations. Despite advances in understanding its mechanics and function, complication and implant removal rates remain as high as 30% to 40%. Analysis was performed to determine the survivability of 2 subtalar joint arthroereisis implants, absorbable and nonabsorbable, used alone and in combination with other procedures in both the adult and pediatric populations. The 95 total arthroereisis procedures were analyzed in several major categories: absorbable implants versus nonabsorbable implants and adult versus pediatric patients. Each major group was then further subdivided to create further subgroups: absorbable isolated procedures, absorbable combined procedures, nonabsorbable isolated procedures, and nonabsorbable combined procedures. The overall survival rates were 83% for absorbable implants and 81% for nonabsorbable implants. A total of 11 (17%) absorbable implants and 6 (19%) nonabsorbable implants were removed, respectively, at an average of 9 months and 23 months postoperatively. When used alone and in combination with other procedures, 36% and 13% of absorbable implants and 18% and 19% of nonabsorbable implants, respectively, were removed. When comparing adult versus pediatric populations, the overall survival rates of the absorbable and nonabsorbable implants were 81% for absorbable implants and 79% for nonabsorbable implants in the adult population and 85% for absorbable implants and 100% for nonabsorbable implants in the pediatric population.Level of Evidence: Therapeutic, Level III; Retrospective comparative series
- Subjects :
- Adult
medicine.medical_specialty
Adolescent
Polymers
Joint Prosthesis
Polyesters
Subtalar joint arthroereisis
Adult population
Young Adult
Subtalar joint
Absorbable Implants
medicine
Retrospective analysis
Humans
Orthopedics and Sports Medicine
Orthopedic Procedures
Lactic Acid
Podiatry
Child
Aged
Retrospective Studies
business.industry
Subtalar Joint
Middle Aged
Flatfoot
Surgery
medicine.anatomical_structure
Complication
business
Flexible Flatfoot
Pediatric population
Subjects
Details
- ISSN :
- 19387636
- Volume :
- 6
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Footankle specialist
- Accession number :
- edsair.doi.dedup.....101f8365a3731036d43a0af294200ce3