Ten cases, from 20 to 59 years old, were prospectively followed up for minimum of one year (range 12 to 31 months). Arthritis and tarsal coalition were the most common indications.
Fusion was observed in all cases at a maximum of 9 weeks. Mean average AOFAS score improved from 47 to 78. No complications were noted related to the technique. Only two patients, operated for a symptomatic subtalar coalition, complained of some residual pain due to a lateral submalleolar impingement. Interest of preservation of vascular talar supply and bone grafting are discussed.
The good results using this innovative technique are encouraging. Long term randomised studies remain necessary to confirm the reliability of the procedure in these different indications, and the type of bone graft to favor, if really needed.
Level IV Therapeutic study.