Our Summary

This research paper talks about a type of surgery known as arthroscopic subtalar fusion. The subtalar joint, located in our foot, helps us walk on uneven surfaces. When it gets affected by arthritis, a common disease that causes pain and inflammation in joints, a surgery may be needed.

The researchers looked at studies of this surgery up until May 21, 2020. From these, they chose 17 studies involving 395 patients who had 409 operations. The patients were followed up for an average of 40 months after their operations.

They found that about 96% of patients showed signs of healing (referred to as ‘union’) on their X-rays about 12 weeks after their operation. Around 1% of patients had delayed healing, and about 4% of patients did not heal properly. In terms of patient satisfaction, including how much pain relief they got, about 95% of patients were happy with their results.

However, about 16% of patients had complications after their surgery. These included issues with the surgical implants, nerve pain, and infection.

Overall, the researchers concluded that arthroscopic subtalar fusion is a safe and effective alternative to traditional open surgery. It has high patient satisfaction, high healing rates, and low complication rates. They suggest that future research should focus on figuring out the best cases for this type of surgery, the best surgical technique, and the best post-operation care to improve healing and function.

FAQs

  1. What is arthroscopic subtalar fusion and why is it needed?
  2. What were the main findings of the research on arthroscopic subtalar fusion surgery?
  3. What complications can arise from arthroscopic subtalar fusion surgery?

Doctor’s Tip

A doctor might tell a patient considering joint fusion surgery to make sure they understand the potential risks and benefits of the procedure. They may also advise the patient to follow post-operative care instructions carefully to ensure proper healing and reduce the risk of complications. Additionally, the doctor may recommend discussing any concerns or questions about the surgery with them before making a decision.

Suitable For

Patients who are typically recommended joint fusion, specifically arthroscopic subtalar fusion in this case, are those with arthritis affecting the subtalar joint in the foot. This type of surgery may be recommended for patients who have not found relief from conservative treatments such as medication, physical therapy, and orthotics. Additionally, patients who have significant pain, stiffness, and limited mobility in the subtalar joint may benefit from joint fusion surgery.

It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if joint fusion is the best treatment option for their specific condition. Patients with certain medical conditions or factors that may increase the risk of complications from surgery may not be good candidates for joint fusion. Additionally, patients who are not able to comply with post-operative care instructions or rehabilitation may not be recommended for joint fusion surgery.

Overall, patients recommended for joint fusion surgery are those who have exhausted conservative treatment options and continue to experience significant pain and disability due to arthritis or other conditions affecting the joint. Consulting with a healthcare provider or orthopedic surgeon is essential to determine the best treatment plan for each individual patient.

Timeline

In summary, before joint fusion, a patient may experience pain and inflammation in the affected joint, which may limit their mobility and quality of life. They may undergo various non-surgical treatments such as medications, physical therapy, and injections to manage their symptoms. However, if these treatments are not effective, joint fusion surgery may be recommended.

After joint fusion surgery, a patient typically goes through a recovery period where they may experience pain, swelling, and limited mobility. They will work with their healthcare team to manage their pain, rehabilitate the joint, and gradually increase their activity level. Over time, the patient should experience improved joint function, reduced pain, and increased mobility as the joint heals and fuses together.

Ultimately, the goal of joint fusion surgery is to improve the patient’s quality of life by reducing pain and improving joint function. With proper post-operative care and rehabilitation, patients can expect to see positive outcomes and enjoy long-term benefits from the surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about joint fusion, specifically arthroscopic subtalar fusion, include:

  1. What is arthroscopic subtalar fusion and why is it recommended for me?
  2. What are the potential risks and complications associated with this surgery?
  3. What is the success rate of arthroscopic subtalar fusion in terms of pain relief and function improvement?
  4. How long is the recovery process after arthroscopic subtalar fusion surgery?
  5. What type of post-operative care and rehabilitation will be required for optimal healing?
  6. Are there any alternative treatment options to consider before undergoing arthroscopic subtalar fusion?
  7. What is the expected outcome in terms of pain relief and overall joint function after surgery?
  8. How long will it take for me to return to normal activities after arthroscopic subtalar fusion?
  9. Are there any specific factors that may affect the success of the surgery in my case?
  10. What can I do to minimize the risk of complications and improve the outcome of arthroscopic subtalar fusion surgery?

Reference

Authors: Loewen A, Ge SM, Marwan Y, Berry GK. Journal: JBJS Rev. 2021 Aug 20;9(8). doi: 10.2106/JBJS.RVW.20.00231. PMID: 34415883