arthrorise talo-calcaneenne

ARTHRORISE
TALOCALCANEENNE
W. MAC DOUGALL
Fed. Chir. Orthop. Traumat.
COLMAR
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Cause la plus fréquente de consultation chez les enfants
Incidence 5% (enfants et adultes)
Traitement chirurgical → >10ans
25% rétraction des jumeaux
L’arsenal thérapeutique chirurgical est vaste (PM et osseuse).
Comme techniques mini-invasives : Ténotomies et ostéotomies
percutanées et arthrorise
Edwin J. Harris & col. Diagnosis and Treatment of Pediatric Flatfoot . THE JOURNAL OF FOOT & ANKLE SURGERY
Vol 43, N 6, 2004
Scharer BM, Black BE, Sockrider . Treatment of painful pediatric flatfoot with Maxwell-Brancheau sutalar arthroeisis
implant a restrospective radiographic review. FOOT & ANKLE SPEC 2010 Apr;3(2):67-72
Scott C. N, & col Flexible Flatfoot Treatment With Arthroereisis: Radiographic Improvement & Child Health Survey
Analysis. THE JOURNAL OF FOOT & ANKLE SURG. VOL 43, 3, MAY/JUNE 2004
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Arthro: articulation; rise: blocage
C’est une technique opératoire (Mini-invasive) qui provoque une
limitation partielle de la mobilité articulaire
Blocage extra-articulaire sous-talien par l’intermédiaire d’une vis
d’expansion au niveau du sinus du tarse qui prévient l’éversion
excessive de l’arrière pied
Repositionne le talus sur le calcanéus et l’os naviculaire →↓ tension
ligamentaire et tendineuse
Favorise l’efficacité du tendon long fibulaire → ↑flexion 1°mtt → ↓
abd avant pied
 Zeeshan S. Husain, & col. Biomechanical Analysis of Maxwell-Brancheau Arthroereisis Implants. THE J OF FOOT & ANKLE SURG. Vol 41, 6, NOV
2002
 Steph J Miller. THE MBA SUBTALAR JOINT ARTHROEREISIS IMPLANT IN THE ADULT FLEXIBLE FLATFOOT; chapitre 3 . Reconstructive Surgery
of the Foot and Ankle Update’98. 1998, The Podiatry Institut: Tucke, GA p 99-117
 Scott C. N, & col Flexible Flatfoot Treatment With Arthroereisis: Radiographic Improvement & Child Health Survey Analysis. THE JOURNAL OF
FOOT & ANKLE SURG. VOL 43, 3, MAY/JUNE 2004
 Steven P. Brancheau, & col. An Analysis of Outcomes after Use of the Maxwell-Brancheau Arthroereisis Implant . The Journal of Foot & Ankle Surgery
51 (2012) 3–8
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Pied plat souple: enfants, adolescents & adultes
Pied plat neurologique
Pied plat rigide (valgus calcanéen)
Insuffisance du tendon Jambier Postérieur
(ATCD pied plat dans l’enfance ):
Stade I
Stade II a et II b
II c en association avec autres gestes
 Edwin J. Harris & col. Diagnosis and Treatmentof Pediatric Flatfoot THE JOURNAL OF FOOT & ANKLE SURGERY Vol 43, N 6, 2004
 Sandro Giannini & col Operative Treatment of Flatfoot With Talocalcaneal Coalition CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 411, pp. 178–187 2003
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Troy Watson; The Adult Acquired Flatfoot Deformity: A Treatment Algorithm Techniques in Foot & Ankle Surgery Volume 11, Number 3, September 2012
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Scott E. Van Aman, MD and Lew C. Schon, MD Subtalar Arthroereisis as Adjunct Treatment for Type II Posterior Tibial Tendon Deficiency. Techniques in Foot and Ankle Surgery 5(2):117 –
125, 2006
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Yuan Zhu & Xiang-yang Xu; Treatement of Stade II Adult Acquired Flatfoot Deformity with Subtalar Arthroereises. Clinical Research. Foot & Ankle Specialist. Vol XX/n°X Aug 2014
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Brancheau S P & col; An Analysis of outcomes after use the MBA implant The Journal of. Foot and Ankle Surgery 51 (2012) 3-8
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Pied plat rigide sans valgus calcanéen
Instabilité medio tarsienne
Lésions dégénératives
↑Torsion tibiale ou fémorale
Infection active
 Scott C. N, & col, Flexible Flatfoot Treatment With Arthroereisis: Radiographic Improvement & Child Health Survey
Analysis THE JOURNAL OF FOOT & ANKLE SURG. VOL 43, 3, MAY/JUNE 2004
 Mosca V S.; Flexible flatfoot in children & adsolescents. J Child. Osthop. (2000) 4:107-121
 Garras D.N.; Raikin S.M.; Combined Modified Kinder procedure with Subtalar Arthroeresis for de correction of paiful
Accesory Navicular Accesory navicular Associated with planovalgud deformity. Technique in Foot & Ankle Surgery. Vol 11,
N 4, December 2012
 Van Aman S. E., Subtalar Arthroereisis as Adjunct Treatement for Type II Posterieur Tibial Tendon Deficiency. Tch in Foot
& Ankle Surgery; 5 (2): 117-125, 2006
ANNÉ
AUTEUR
IMPLANT
MATERIEL
1946
Chambers
Ostéotomie + greffe en coin
Os
1952
Grice
GREFFE OSEUSE
IDEM + VIS TALO-CALCANÉENNE
1962
Haraldsson
GREFFE OSEUSE
Os en coin EN COIN
1970
LeLievre
IDEM+ agraffe
IDEM + acier inox
1972
1974
1976
1976
Recaredo Alvarez
Subotnick
Smith
Valenti
« Calcaneo stop »
“Custom-carved plug”
« STA-peg »
cylindre cannulée
Vis inox
Silastic
Polyethylene
Polyethylene
1977
Vilodot
parapluie
Silastic
1978
Samuelson
2-composant
PE + SS
1979
Lanham
Stem
Swanson gt. toe Silastic
1982
Addante
Addante sphere
Silastic
1983
Sgarlato
Sgarlato mushroom
Silastic
1984
Pisani
Pisani capped screw
Silastic + SS
1985
Lundeen
STA-peg modified
Polyethylene
1985
Giannini
Vis d’expantion
Teflon + SS
1999
Maxwell-Brancheau
Vis MBA
Titanium
2001
Giannini
Vis d’expantion
PLLA
2003
Viladot
Kalix
PE + Titanium
Arthrodèse
de Grice
Arthrorise
« calcaneo stop »
Alvarez
Arthrorise
Interpositionexpension
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Vito Pavone, Calcaneo-stop Procedure in the Treatment of the Juvenile Symptomatic Flatfoot The Journal of Foot & Ankle Surgery 52
(2013) 444–447
Maurizio De Pellegrin. Subtalar extra-articular screw arthroereisis (SESA) for the treatment of flexible flatfoot in children J Child Orthop (2014)
8:479–487
Jerosch J & col; The Stop screw technique- A simple & reliable method in treating flexible flatfoot in children. The Journal of
Foot & Ankle Surgery 15 (2009) 174-178
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Plus de 10 différents:
- MBA en titane + utilisé
- Giannini en téflon et acier inox
- PLLA résorbable (8m-4ans)
- Silastic (Viladot 1977)
- Polyéthylène (Valenti , Schmit 1976)
- Mixte
 Amol Saxena and Aidan Nguyen, Preliminary Radiographic Findings and Sizing Implications on Patients Undergoing Bioabsorbable Subtalar
Arthroereisis THE JOURNAL OF FOOT & ANKLE SURGERY VOL 46, NUMBER 3, MAY/JUNE 2007
 G. ZATTI & col., Arthroresis in flexible flatfoot comparative follow-up of two treatment methods. Foot and Ankle Surgery 1998 4:219-226
 Zeeshan S. Husain, & col. Biomechanical Analysis of Maxwell-Brancheau Arthroereisis Implants THE J. OF FOOT & ANKLE SURG. Vol 41, 6, NOV
2002
 Viladot, A., Pons, M., Alvarez, F., Omana, J.,. Subtalar arthroereisis for posterior tibial tendon dysfunction: a preliminaryreport.
Foot Ankle Int. 24, 600–606. 2003
 Steph J Miller. Extraarticular Arthroereisis Implant in the Pediatric Flexible Flatfoot; chapitre 4 . Reconstructive Surgery of the Foot and Ankle Update’98.
2009, The Podiatry Institut: Tucke, GA p 20-35
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Le résultat de la correction dépend de la position ou la taille, plus
que le matériel
Ablation dans certains cas (40%) même pour les implants
résorbables, après 12 mois en moyenne de post-op
Persistance de la correction malgré l’ablation
Effet proprioceptif de correction spontanée contro-latérale
 Yuan Zhu & Xiang-yang Xu; Treatement of Stade II Adult Acquired Flatfoot Deformity with Subtalar Arthroereises. Clinical Research , FOOT
ANKLE SPEC. Vol XX/n°X Aug 2014
 Scharer BM, Black BE, Sockrider . Treatment of painful pediatric flatfoot with Maxwell-Brancheau sutalar arthroeisis implant a restrospective
radiographic review. FOOT ANKLE SPEC 2010 Apr;3(2):67-72.
 Fernández de Retana P, Alvarez F, Bacca G. Is there a role for subtalar arthroereisis in the management of adult acquired flatfoot? FOOTANKLE
CLIN. 2012 Jun;17(2):271-81.
 Baker J R & col.; Restrospective Analisis of Survivability of Absorbable Versus Nonabsorbable Subtalar Joint Arthroereisis
 Implant. CLINICAL RESEARCH FOOT & ANKLE SPECIALIST . February 2013
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Migration de l’implant
Douleur persistante, contracture fibulaire
Inflammation par débris du matériel
Nécrose avasculaire
Fractures
Arthrodèse
Vishwajeet Kumar∗, T.M.Clough. Talar neck fracture—A rare but important complication following subtalar arthroereisis. THE FOOT 24 (2014) 169–
171
Tun Hing Lui, & col. Spontaneous Subtalar Fusion: An Irreversible Complication of Subtalar ArthroereisisTHE JOURNAL OF FOOT & ANKLE SURG 53
(2014) 652–656
Steph J Miller. Extraarticular Arthroereisis Implant in the Pediatric Flexible Flatfoot; chapitre 4 . Reconstructive Surgery of the Foot and Ankle
Update’98. 2009, The Podiatry Institut: Tucke, GA p 20-35
Scott C. N, Darryl M. H,Eugene R. L, Flexible Flatfoot Treatment With Arthroereisis: Radiographic Impro-vement & Child Health Survey Analysis THE
JOURNAL OF FOOT & ANKLE SURG. VOL 43, 3, 2004
National Institute for Health and Clinical Excellence (NICE). Interventional procedure overview of sinus tarsi implant insertion for mobile flatfoot.
London, UK: NICE; 2008