Posterior hindfoot arthroscopy: a review.

Area of Science:

• Orthopaedics and Sports Medicine
• Minimally Invasive Surgery

Background:

• Minimally invasive surgery is advancing orthopaedics and sports medicine.
• Posterior hindfoot arthroscopy is increasingly used for posterior ankle and hindfoot injuries.
• It offers reduced pain, infection, and blood loss compared to open procedures.

Purpose of the Study:

• To provide an evidence-based literature review of arthroscopic treatment for posterior ankle and hindfoot abnormalities.
• To discuss causes, diagnosis, surgical techniques, outcomes, and complications.
• To highlight the effectiveness of the 2-portal technique.

Main Methods:

• Review of current literature on posterior hindfoot arthroscopy.
• Analysis of the 2-portal technique described by Van Dijk et al.
• Discussion of evidence for treating specific posterior ankle conditions.

Main Results:

• The 2-portal hindfoot arthroscopy is a safe and effective primary treatment.
• It is indicated for os trigonum resection, tendon injuries, osteochondral lesions, and subtalar coalitions.
• Effective in expediting rehabilitation and minimizing athlete downtime.

Conclusions:

• Posterior hindfoot arthroscopy is a viable and effective treatment strategy.
• The 2-portal technique is well-established and supported by current evidence.
• It leads to improved patient outcomes and faster return to competition.