Current Insights On Internal Fixation Of Subtalar Fusions

Author(s): 
Ryan T. Scott, DPM, AACFAS, and Christopher F. Hyer, DPM, MS, FACFAS

   One can inadequately assess deviations medially or laterally from the central aspect of the calcaneus when utilizing only the intraoperative lateral radiographic view. Accordingly, the calcaneal axial view is required to confirm appropriate placement of the guide wire into the central aspect of the calcaneus prior to screw placement. This tip is critically important in the posterior to anterior screw placement as the landing zone is small. Though our cadaver study demonstrated the “top down” screw to be reproducible and generally central into the calcaneus, we still recommend the additional imaging view.

   Dr. Scott is a Fellow of the Orthopedic Foot and Ankle Center in Westerville, Ohio. He is an Associate of the American College of Foot and Ankle Surgeons.

   Dr. Hyer is the Fellowship Director of Orthopedic Foot and Ankle Center in Westerville, Ohio. He is a Fellow of the American College of Foot and Ankle Surgeons.

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