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Arthroscopic Subtalar, Double, and Triple Fusion
Richard Walter1, Stephen Parsons1, Ian Winson1
1Department of Trauma and Orthopaedics, Sports and Orthopaedic Clinic, Bristol Spire Hospital, Redland Road, Bristol BS6 6UT, UK.
Foot and Ankle Clinics
|August 16, 2016
Summary
Arthroscopic subtalar, double, and triple arthrodesis offer better soft tissue preservation. This technique uses arthroscopy for joint preparation and screws for fixation, reporting high fusion rates and few complications.
Area of Science:
- Orthopedic surgery
- Minimally invasive procedures
- Foot and ankle reconstruction
Background:
- Traditional open arthrodesis techniques can lead to significant soft tissue disruption.
- Arthroscopic techniques offer potential advantages in preserving surrounding soft tissues.
Purpose of the Study:
- To describe the arthroscopic surgical technique for subtalar, double, and triple arthrodesis.
- To evaluate the efficacy and safety of this minimally invasive approach.
Main Methods:
- Utilized a 4.5-mm 30° arthroscope inserted through sinus tarsi portals.
- Employed motorized burrs for preparing the three joints of the triple arthrodesis.
- Achieved rigid fixation using cannulated screws.
Main Results:
- The arthroscopic approach allows for preparation of all three joints of the triple arthrodesis.
- Reported high rates of bony union.
- Observed low rates of surgical complications.
Conclusions:
- Arthroscopic arthrodesis of the subtalar, double, and triple joints is a viable technique.
- This approach provides effective joint fusion with favorable outcomes.
- Minimally invasive arthroscopic methods enhance soft tissue preservation compared to open surgery.
