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Subtalar arthroscopy--indications and surgical technique
1Department of Orthopaedic Surgery, Westfälische Wilhelms University, Münster, Germany. jerosch@uni-muenster.de
Summary
Subtalar arthroscopy offers new diagnostic and minimally invasive therapeutic options for foot surgery. This reproducible procedure is expected to become a standard in the field soon.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
- Minimally Invasive Procedures
Background:
- Subtalar joint pathology requires effective diagnostic and therapeutic interventions.
- Arthroscopy presents a minimally invasive approach to joint surgery.
- Standardized portals are crucial for reproducible arthroscopic techniques.
Purpose of the Study:
- To evaluate the feasibility and outcomes of subtalar arthroscopy.
- To explore the diagnostic and therapeutic applications of subtalar arthroscopy.
- To assess the utility of specific arthroscopic portals for subtalar procedures.
Main Methods:
- Subtalar arthroscopy was performed in 18 patients.
- Standard portals included anterolateral ventral (ALV) for the arthroscope and posterolateral dorsal (PLD) for instrumentation.
- Procedures included diagnostic arthroscopy, partial synovectomy, loose body resection, subtalar fusion, tarsal sinus debridement, and os trigonum resection.
Main Results:
- Arthroscopy was used diagnostically in 4 patients and therapeutically in 14 patients.
- Various surgical procedures were successfully performed via arthroscopy.
- The ALV and PLD portals facilitated effective visualization and instrumentation.
Conclusions:
- Subtalar arthroscopy is a standardized and reproducible surgical technique.
- It provides valuable diagnostic capabilities and minimally invasive therapeutic options.
- The procedure is anticipated to gain widespread acceptance in foot surgery.