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A posterior 3-portal arthroscopic approach for isolated subtalar arthrodesis.

Publication ,  Journal Article
Lee, K-B; Saltzman, CL; Suh, J-S; Wasserman, L; Amendola, A
Published in: Arthroscopy
November 2008

Arthroscopic subtalar arthrodesis was developed to improve on open methods of fusion. A posterior 3-portal arthroscopic approach with the patient in the prone position provides a new and optimal method for isolated subtalar arthrodesis. It facilitates safe access to the posterior talocalcaneal facet. The posterolateral portal was established using blunt dissection. The 3-mm, 30 degrees arthroscope was inserted, the posterolateral portal was made, and synovectomy carried out. A large 4-mm arthroscope was used to improve fluid flow. The third portal was then established approximately 1 cm proximal and 1 cm posterior to the tip of the lateral malleolus. This portal was used for distraction by inserting a large blunt trocar into the joint. Most of the procedure was performed with the arthroscope in the posterolateral portal and the instruments posteromedial. Allograft was inserted through the posterolateral portal. Fixation was achieved using 2 cannulated 6.5- or 7.3-mm cancellous screws, inserted under fluoroscopic control. Postoperatively, patients were assigned to non-weight bearing cast immobilization with crutch ambulation for 6 weeks, followed by gradual weight bearing until radiographs showed union. Preliminary results have shown high patient satisfaction, an excellent fusion rate, and less postoperative morbidity than with open subtalar arthrodesis.

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Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

November 2008

Volume

24

Issue

11

Start / End Page

1306 / 1310

Location

United States

Related Subject Headings

  • Subtalar Joint
  • Prone Position
  • Orthopedics
  • Minimally Invasive Surgical Procedures
  • Humans
  • Debridement
  • Cartilage
  • Arthroplasty, Replacement
  • Arthrodesis
  • Ankle Joint
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lee, K.-B., Saltzman, C. L., Suh, J.-S., Wasserman, L., & Amendola, A. (2008). A posterior 3-portal arthroscopic approach for isolated subtalar arthrodesis. Arthroscopy, 24(11), 1306–1310. https://doi.org/10.1016/j.arthro.2006.01.025
Lee, Keun-Bae, Charles L. Saltzman, Jin-Soo Suh, Lisa Wasserman, and Annunziato Amendola. “A posterior 3-portal arthroscopic approach for isolated subtalar arthrodesis.Arthroscopy 24, no. 11 (November 2008): 1306–10. https://doi.org/10.1016/j.arthro.2006.01.025.
Lee K-B, Saltzman CL, Suh J-S, Wasserman L, Amendola A. A posterior 3-portal arthroscopic approach for isolated subtalar arthrodesis. Arthroscopy. 2008 Nov;24(11):1306–10.
Lee, Keun-Bae, et al. “A posterior 3-portal arthroscopic approach for isolated subtalar arthrodesis.Arthroscopy, vol. 24, no. 11, Nov. 2008, pp. 1306–10. Pubmed, doi:10.1016/j.arthro.2006.01.025.
Lee K-B, Saltzman CL, Suh J-S, Wasserman L, Amendola A. A posterior 3-portal arthroscopic approach for isolated subtalar arthrodesis. Arthroscopy. 2008 Nov;24(11):1306–1310.
Journal cover image

Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

November 2008

Volume

24

Issue

11

Start / End Page

1306 / 1310

Location

United States

Related Subject Headings

  • Subtalar Joint
  • Prone Position
  • Orthopedics
  • Minimally Invasive Surgical Procedures
  • Humans
  • Debridement
  • Cartilage
  • Arthroplasty, Replacement
  • Arthrodesis
  • Ankle Joint