SynthesisEFORT open reviews2026
Arthroscopic subtalar arthrodesis using grafts grants higher union rates and faster time to union: systematic review and meta-analysis.
Synthesis in EFORT open reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To compare the outcomes of open vs arthroscopic subtalar arthrodesis using grafts in terms of union rate and time to union. Methods: The authors conducted a structured electronic literature search using MEDLINE and Embase. This review included prospective and retrospective comparative clinical studies comparing union rates following primary isolated subtalar arthrodesis, using biological adjuvants, which had a follow-up ≥6 months. Results: The systematic search returned 929 records, of which 119 were duplicates, leaving 810 for screening. A total of 781 studies were excluded by examining their titles and/or abstracts, and a further 17 studies were excluded after full-text review. This left 12 eligible studies. The pooled union rate was significantly higher following arthroscopic surgery (100%; CI: 0.98-1.00; I 2: 0%) compared to open surgery (93%; CI: 0.89-0.95; I 2: 0%). The pooled time to union was significantly faster following arthroscopic surgery (12.2 weeks; CI: 12.0-12.5; I 2: 0%) compared to open surgery (13.8 weeks; CI: 13.4-14.2; I 2: 21%). There was no difference between arthroscopic and open arthrodesis for postoperative AOFAS and complications. Conclusion: Compared to open subtalar arthrodesis, arthroscopic treatment resulted in significantly higher union rates (93 vs 100%) and faster time to union (13.5 vs 12.0 weeks), while there were no differences between postoperative AOFAS (75.7 vs 73.8) and complication rates (14 vs 7%).
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