Subtalar arthroscopy - indications and surgical technique

Jerosch, J.

doi:10.1007/s001670050084

Cited by 35 publications

(14 citation statements)

References 24 publications

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“…When nonoperative treatment fails to decrease the symptoms of os trigonum syndrome, surgical excision of the os trigonum is the treatment of choice, with satisfactory clinical results reported (6)(7)(8). Excision can be performed using either an open or arthroscopic technique.…”

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confidence: 96%

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Endoscopic Excision of Symptomatic Os Trigonum in Professional Dancers

Morelli

Mazza

Serlorenzi

et al. 2017

The Journal of Foot and Ankle Surgery

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mentioning

confidence: 96%

“…The arthroscopic procedure has become increasingly popular to treat many ankle diseases, because it is a less invasive surgical technique with a reduced risk of complications, a shorter recovery period, and better clinical outcomes. It has also been suggested that a visible scar after open excision might influence performance for a dancer (7).…”

mentioning

confidence: 99%

Endoscopic Excision of Symptomatic Os Trigonum in Professional Dancers

Morelli

Mazza

Serlorenzi

et al. 2017

The Journal of Foot and Ankle Surgery

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“…All selected studies were identified using the literature search strategy, as the review of reference sections did not identify additional articles for inclusion. Overall, 8 studies 5 , 9 , 12 , 18 , 21 , 22 , 24 , 31 examined prone patients with 2 posterior portals (n = 111; 22.9%), 7 articles 4 , 11 , 13 , 16 , 27 , 30 , 35 evaluated lateral portals in the supine or lateral position (n = 182; 37.6%), and 5 studies 2 , 3 , 6 , 26 , 34 examined patients in the prone position with 3 portals (n = 191; 39.5%). The mean MCMS of included studies was found to be 38.4 (range, 10-63) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

Do Patient Positioning and Portal Placement for Arthroscopic Subtalar Arthrodesis Matter?

Shamrock

Amendola

Glass

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Arthroscopic subtalar arthrodesis was first described over 2 decades ago and originally performed in the lateral decubitus or supine position using anterolateral and posterolateral portals situated about the fibula. More recently, several authors have advocated for prone positioning utilizing posteromedial and posterolateral portals with an optional accessory lateral portal. To date, a comparison of these techniques has been limited. Purpose: To determine the effect of patient positioning and portal placement on complication rates after arthroscopic subtalar arthrodesis. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Patients were placed into 1 of 3 groups: the lateral group if they were positioned lateral or supine with lateral-based portals; the 2-portal prone group if they were positioned prone with posteromedial and posterolateral portals; or the 3-portal prone group if posteromedial, posterolateral, and accessory lateral portals were utilized in the prone position. Inverse variance–weighted fixed-effects models were used to evaluate pooled estimates. Results: A total of 20 studies examining 484 feet in 468 patients with a mean follow-up of 36.1 months were included for analysis. Overall, 8 studies examined patients in the prone position with 2 posterior portals (n = 111; 22.9%), 7 articles evaluated lateral portals (n = 182; 37.6%), and 5 studies examined patients in the prone position with 3 portals (n = 191; 39.5%). The total complication rate was similar ( P = .620) between the 2-portal prone (18.9%), 3-portal prone (17.8%), and lateral (17.6%) groups. There was no difference observed in the rate of complications secondary to portal placement ( P ≥ .334), rate of painful hardware ( P ≥ .497), and rate of repeat surgery ( P ≥ .304). The 2-portal prone group had a significantly higher rate of nonunion than the lateral group (8.1% vs 1.1%, respectively; P = .020) but not the 3-portal prone group (5.8%; P = .198). Conclusion: The current study demonstrated a higher rate of nonunion following arthroscopic subtalar arthrodesis with prone patient positioning using posteromedial and posterolateral portals without an accessory lateral portal.

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“…In contrast, arthroscopic subtalar release is minimally invasive, which facilitates early mobilisation and allows the condition of the posterior calcaneal facet to be examined. 2,[13][14][15] Parisien and Vangsness 8 demonstrated that in cases of arthrofibrosis of the subtalar joint dramatic relief of pain and an improved range of movement can be obtained after arthroscopic excision of adhesions. Elgafy and Ebraheim 13 described ten consecutive patients who underwent subtalar arthroscopy for persistent pain in the subfibular area after open reduction and internal fixation of intra-articular fractures of the calcaneum.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic release for painful subtalar stiffness after intra-articular fractures of the calcaneum

Lee

Chung

Song

et al. 2008

The Journal of Bone and Joint Surgery. British volume

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We describe the surgical technique and results of arthroscopic subtalar release in 17 patients (17 feet) with painful subtalar stiffness following an intra-articular calcaneal fracture of Sanders' type II or III. The mean duration from injury to arthroscopic release was 11.3 months (6.4 to 36) and the mean follow-up after release was 16.8 months (12 to 25). The patient was positioned laterally and three arthroscopic portals were placed anterolaterally, centrally and posterolaterally. The sinus tarsi and lateral gutter were debrided of fibrous tissue and the posterior talocalcaneal facet was released. In all, six patients were very satisfied, eight were satisfied and three were dissatisfied with their results. The mean American Orthopaedic Foot and Ankle Society ankle-hindfoot score improved from a mean of 49.4 points (35 to 66) pre-operatively to a mean of 79.6 points (51 to 95). All patients reported improvement in movement of the subtalar joint. No complications occurred following operation, but two patients subsequently required subtalar arthrodesis for continuing pain. In the majority of patients a functional improvement in hindfoot function was obtained following arthroscopic release of the subtalar joint for stiffness and pain secondary to Sanders type II and III fractures of the calcaneum.

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Subtalar arthroscopy - indications and surgical technique

Cited by 35 publications

References 24 publications

Endoscopic Excision of Symptomatic Os Trigonum in Professional Dancers

Endoscopic Excision of Symptomatic Os Trigonum in Professional Dancers

Do Patient Positioning and Portal Placement for Arthroscopic Subtalar Arthrodesis Matter?

Arthroscopic release for painful subtalar stiffness after intra-articular fractures of the calcaneum

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