Dispelling The Misconceptions About Subtalar Arthroereisis

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Michael E. Graham, DPM, FACFAS

   The ideal patient for subtalar arthroereisis exhibits the deformity but cannot achieve stabilization with custom-molded orthoses. This patient also does not have a deformity that is severe enough for more aggressive surgery. In some situations, the surgeon pushes the envelope and tries an arthroereisis in semi-flexible or rigid flatfoot conditions. Most likely, the procedure will fail in these patients. Arthroereisis as a standalone procedure works the best in mild to moderate cases. Severe cases of flexible flatfoot are better served with a combination of arthroereisis and rearfoot reconstructive procedures.

In Conclusion

Many people of all ages who suffer with flexible talar instability can benefit from this minimally invasive, life changing procedure. Do not let the misconceptions or myths deter you from providing this modality to your patients suffering from the ill effects of hyperpronation. When one weighs the possible complications of subtalar arthroereisis versus the complications
of lifelong damage from hyperpronation, I would venture that the choice is obvious.

   Dr. Graham is a Fellow of the American College of Foot and Ankle Surgeons and a Fellow of the American Society of Podiatric Surgeons. He practices at the Center for Foot and Ankle Disorders in Shelby Township, Mich. He is the inventor of the HyProCure sinus tarsi device.

   For further reading, see “Keys To Preventing Complications With Subtalar Joint Implants” in the January 2010 issue of Podiatry Today or “Techniques And Experiences In Foot And Ankle Surgery,” a supplement to the August 2006 issue.


1. Available at http://www.hyprocuredoctors.com/knowledge/

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