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ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS
Journal article   Open access

ROLE OF BONE GRAFTS AND BONE GRAFT SUBSTITUTES IN ISOLATED SUBTALAR JOINT ARTHRODESIS

Ashish Shah, Sameer Naranje, Ibukunoluwa Araoye, Osama Elattar, Alexandre Leme Godoy-Santos and Cesar de Cesar Netto
Acta ortopedica brasileira, Vol.25(5), pp.183-187
09/01/2017
DOI: 10.1590/1413-785220172505177665
PMCID: PMC5608735
PMID: 29081701
url
https://doi.org/10.1590/1413-785220172505177665View
Published (Version of record) Open Access

Abstract

Objectives: The purpose of this study was to compare union rates for isolated subtalar arthrodesis with and without the use of bone grafts or bone graft substitutes. Methods: We retrospectively reviewed 135 subtalar fusions with a mean follow-up of 18 +/- 14 months. The standard approach was used for all surgeries. Graft materials included beta-tricalcium phosphate, demineralized bone matrix, iliac crest autograft and allograft, and allograft cancellous chips. Successful subtalar fusion was determined clinically and radiographically. Results: There was an 88% (37/42) union rate without graft use and an 83% (78/93) union rate with bone graft use. Odds ratio of union for graft versus no graft was 0.703 (95% CI, 0.237-2.08). The average time to union in the graft group was 3 +/- 0.73 months and 3 +/- 0.86 in the non-graft group, with no statistically significant difference detected (p = 0.56). Conclusion: Graft use did not improve union rates for subtalar arthrodesis.
Life Sciences & Biomedicine Orthopedics Science & Technology

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