Morag Guy, Maman Eran, Arbel Ron
Center for Sports Medicine and Arthroscopic Surgery, Department of Orthopaedic Surgery "B," Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Arthroscopy. 2003 Feb;19(2):E13. doi: 10.1053/jars.2003.50063.
The arthroscope has served the orthopaedic surgeon as a diagnostic and operative tool since 1931. Several reports on its use in the treatment of extra-articular injuries have been published over the past few years. The surgical approach to the posterior ankle region is associated with some complications stemming from the poor blood supply to this region that can lead to wound complications and the formation of painful scars that later cause irritation when shoes are worn. We describe our experience in treating 3 hindfoot pathologic conditions, chronic Achilles tendonitis, os trigonum syndrome, and Haglund's deformity, by using an endoscope as an alternative to open surgical techniques. All the patients underwent a 2-portal endoscopic procedure, they suffered no complications, and they resumed their daily and sports activities after 2 to 3 months. Our results with the endoscopic treatment of hindfoot and Achilles tendon injuries indicate it to be a good alternative to the surgical approach, and to have the added advantage of reducing postoperative morbidity.
自1931年以来，关节镜一直是骨科医生的诊断和手术工具。在过去几年里，已经发表了几篇关于其用于治疗关节外损伤的报告。后踝区域的手术入路会伴随一些并发症，这些并发症源于该区域血液供应不足，可能导致伤口并发症以及形成疼痛性瘢痕，而这些瘢痕在穿鞋时会引起不适。我们描述了使用内窥镜替代开放手术技术治疗3种后足病理状况（慢性跟腱炎、三角骨综合征和Haglund畸形）的经验。所有患者均接受了双入路内窥镜手术，未出现并发症，并且在2至3个月后恢复了日常和体育活动。我们对内窥镜治疗后足和跟腱损伤的结果表明，它是手术入路的良好替代方法，并且具有降低术后发病率的额外优势。
