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Arthroscopic Os Trigonum Excision: Current Technique by Posterior Ankle Arthroscopy
Jimmy Joseph Meleppuram1, Ayyappan V Nair2, Hamdi Nizar Ahamed1
1Centre of Excellence in Orthopaedics, Apollo Adlux Hospital, Kochi, India.
Arthroscopy Techniques
|July 14, 2025
Summary
Posterior ankle arthroscopy effectively treats posterior ankle impingement and os trigonum issues. This minimally invasive approach offers faster recovery and better patient outcomes compared to open surgery.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Foot and Ankle Surgery
Background:
- Posterior ankle impingement syndrome and os trigonum are common causes of hindfoot pain.
- Both open and arthroscopic surgical techniques can address these conditions.
Purpose of the Study:
- To evaluate the efficacy and patient outcomes of posterior ankle arthroscopy for os trigonum excision.
- To highlight the advantages of arthroscopic over open surgical approaches.
Main Methods:
- Posterior ankle arthroscopy was performed for os trigonum excision.
- Patient outcomes, including recovery time and functional restoration, were assessed.
Main Results:
- Arthroscopic technique demonstrated reduced morbidity and minimal scarring.
- Patients experienced quicker recovery, enabling a swift return to daily activities and sports.
- Full ankle function was restored, enhancing overall patient outcomes.
Conclusions:
- Posterior ankle arthroscopy is a highly effective and beneficial treatment for os trigonum excision.
- The minimally invasive nature of arthroscopy leads to superior patient outcomes and faster rehabilitation.

