Arthrorisis by Means of a Subtalar Polyethylene Peg Implant for Correction of Hindfoot Pronation in Children

Abstract

A modified subtalar arthrorisis is obtained by implantation of an endoprosthesis manufactured from ultrahigh molecular weight polyethylene. It is fashioned into the shape of a peg and implanted into the dorsal surface of the calcaneus just anterior to the posterior facet of the subtalar joint and fixed with polymethylmethacrylate. The purpose of the implant is to eliminate abnormal pronation, correct heel valgus, and produce an increase of the medial longitudinal arch in the growing child.