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physiologic blocking of the subtalar joint

LaPorta, Guido A. DPM, MS; Pless, Amanda DPM

doi: 10.1097/BCO.0000000000000418
SPECIAL FOCUS: Foot and Ankle

Subtalar arthroereisis is an option for the correction of painful, flexible flatfoot. Arthroereisis has been shown to be an effective procedure to treat pathologic hyperpronation and flexible flatfoot accompanied by talotarsal instability in both children and adults. It is imperative that the clinician examines both the patient’s clinical presentation as well as radiographic evaluation to determine appropriateness of the procedure. Highly satisfactory results have been reported both functionally and radiographically with use of the arthroereisis procedure. Most common complications reported in the literature are transient and easily reversible by removal of the device. Although there is a plethora of reported pediatric clinical evidence in the literature, there remains a lack of clinical trials in the adult population. In this article, we examine the current literature with respect to the adult and pediatric populations while also referencing the senior author’s personal experience with the subtalar arthroereisis procedure.

Geisinger-Community Medical Center, Vestal, New York

Financial Disclosure: Dr. LaPorta reports financial relationships outside this work with Stryker, Orthofix, Biomet, and Zimmer. Dr. Pless has no disclosures. The authors report no conflicts of interest in regard to this work.

Correspondence to Guido A. LaPorta, DPM, MS, Geisinger-Community Medical Center, 120 Plaza Drive, Vestal NY, 13850 Tel: +(607) 766-9103; fax: +(607) 797-5195; e-mail:

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