Arthroscopic subtalar arthrodesis is gaining in popularity based on evidence of bone fusion in over 90% of cases, with a shorter time to healing, a simpler postoperative course, and fewer complication compared to open surgery. Two arthroscopic techniques have been reported: one with the patient in lateral decubitus and lateral portals and the other with the patient prone and posterior portals. The objective of this technical note is to describe these two techniques, with emphasis on the specific characteristics of each.
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Arthroscopic Anatomic Reconstruction of the Interosseous Talocalcaneal Ligament Using a Gracilis Autograft for Subtalar Instability: 6- to 12-Year Retrospective Follow-up.
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Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.
Background: Several surgical techniques have been reported of subtalar instability (STI), but it remains a controversial topic without long-term clinical evidence. This study aimed to report the all-inside arthroscopic anatomic interosseous talocalcaneal ligament (ITCL) reconstruction technique and its long-term outcomes in STI patients with confirmed ITCL rupture.
Methods: A retrospective study was conducted on consecutive series of STI patients who underwent all-inside arthroscopic anatomic reconstruction of the ITCL using a gracilis autograft between January 2010 and December 2016.
Open versus arthroscopic fusion of the subtalar joint: a randomized controlled trial.
Acta Orthop
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Sint Maartenskliniek Research, Sint Maartenskliniek, Nijmegen, the Netherlands.
Background And Purpose: Our primary aim was to compare the early complication rate (< 6 weeks postoperatively) after open or arthroscopic fusion of the subtalar joint. Secondary outcomes included late complications (> 6 weeks postoperatively), function, pain, and patient satisfaction.
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Short term efficacy of subtalar arthroscopy combined with medial calcaneal-talar joint distraction in minimally invasive treatment of diabetic patients with calcaneal fractures: a retrospective study.
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Department of Traumatic Orthopedics, The Third Affiliated Hospital of Soochow University, The First People's Hospital of Changzhou Affiliated to Soochow University, Changzhou, 213000, China.
Background: The surgical treatment and management of postoperative soft tissue complications in diabetic patients with displaced calcaneal fractures are still controversial. We aimed to evaluate the short-term efficacy of percutaneous minimally invasive screw fixation in treatment of diabetic patients with Sanders II and III calcaneal fractures under subtalar arthroscopy assisted by preoperative musculoskeletal ultrasonic locating lateral calcaneal branch (LCB) of the sural nerve and calcaneal-talar joint distraction device.
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Department of Public Health, Trauma and Orthopaedics, University of Naples Federico II, Naples, Italy. Electronic address:
Introduction: Subtalar arthrodesis (SA) is a common procedure to treat end-stage subtalar osteoarthritis. We set out in order to determine whether a combined direct fixation of both anterior and posterior facets during SA might influence union and complications compared to isolated fixation of the posterior facet. Our hypothesis was that a combined fixation increases the union rate and reduces the complication rate.
View Article and Find Full Text PDFAnterolateral and accessory anterolateral portals are safe to avoid subcutaneous nerve injury during subtalar arthroscopy-Definition of safe zones for standard lateral portals.
Knee Surg Sports Traumatol Arthrosc
September 2024
Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.
Article Synopsis
- The study investigates the risk of nerve injury during subtalar arthroscopy by examining the distance to the superficial peroneal and sural nerves near common arthroscopic portals.* -
- Using 40 foot-and-ankle specimens, the researchers identified the proximity of surrounding nerves to three portal types: anterolateral (AL), posterolateral (PL), and accessory anterolateral (AAL).* -
- Conclusions indicate that while AL and AAL portals can be safely placed with careful technique, the sural nerve near the PL portal is at the highest risk for injury, emphasizing the need for surgeons to adhere to defined "safe zones."*
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