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Published on: January 24, 2018
Endoscopic lateral calcaneal ostectomy for calcaneofibular impingement
1Department of Orthopaedics and Traumatology, North District Hospital, 9 Po Kin Road, Sheung Shui NT, Hong Kong SAR, China. luithderek@yahoo.co.uk
Archives of Orthopaedic and Trauma Surgery
|July 26, 2006
Summary
Endoscopic lateral calcaneal ostectomy effectively addresses calcaneal bulging after fracture treatment. This minimally invasive technique preserves soft tissues and accurately assesses cartilage for improved outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Foot and Ankle Surgery
Background:
- Lateral calcaneal bulging can occur after conservative calcaneal fracture treatment.
- This condition may lead to calcaneofibular impingement and footwear issues.
Purpose of the Study:
- To describe an endoscopic technique for lateral calcaneal ostectomy.
- To evaluate the efficacy of this minimally invasive approach in addressing calcaneal deformities.
Main Methods:
- The procedure utilizes anterolateral, middle subtalar, and plantar portals.
- Soft tissue is carefully stripped to allow assessment of posterior facet cartilage.
- A lateral cortical bulge is burred using an acromionizer, and degenerated cartilage is debrided.
Main Results:
- The endoscopic approach preserves the integrity of the soft tissue envelope.
- Accurate determination of the required cartilage debridement is achieved.
- Minimally invasive ostectomy addresses calcaneal bulging effectively.
Conclusions:
- Endoscopic lateral calcaneal ostectomy is a viable option for managing post-fracture calcaneal bulging.
- This technique offers precise cartilage assessment and debridement while minimizing soft tissue disruption.
