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Posterior Arthroscopic Subtalar Joint Arthrodesis (Pasta)
Naohiro Shibuya1, Alden Simmons2, Frank Felix2
1University of Texas Rio Grande Valley, School of Podiatric Medicine.
Clinics in Podiatric Medicine and Surgery
|May 26, 2023
Summary
Posterior arthroscopic subtalar joint arthrodesis (PASTA) offers a manageable recovery compared to open surgery. This technique provides a viable alternative for subtalar joint fusion, especially in complex cases.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
- Foot and Ankle Reconstruction
Background:
- Open subtalar joint arthrodesis can lead to complications.
- Arthroscopic techniques offer potential advantages in postoperative recovery.
- Previous ankle surgeries may complicate subtalar joint fusion.
Purpose of the Study:
- To describe the posterior arthroscopic subtalar joint arthrodesis (PASTA) technique.
- To present tips and pearls for successful PASTA.
- To highlight PASTA as an alternative to open arthrodesis.
Main Methods:
- Arthroscopic surgical approach for subtalar joint fusion.
- Focus on posterior portal utilization.
- Detailed description of surgical steps and instrumentation.
Main Results:
- PASTA provides a reproducible and viable alternative to lateral-portal arthrodesis.
- Avoids violation of sinus and canalis tarsi neurovascular structures.
- Manageable postoperative course regarding wound healing and pain control.
Conclusions:
- PASTA is a valuable arthroscopic technique for subtalar joint fusion.
- It offers advantages over open procedures, particularly in revision cases.
- PASTA ensures successful bone healing with improved patient outcomes.
