Department of Orthopedic Surgery and Trauma, Ambroise Paré Hospital, West Paris University, 9 avenue Charles de Gaulle, 92100 Boulogne, France.
Knee Surg Sports Traumatol Arthrosc. 2010 May;18(5):669-72. doi: 10.1007/s00167-010-1086-4. Epub 2010 Feb 25.
Calcaneonavicular coalition is a congenital anomaly characterized by a connection between the calcaneus and the navicular. Surgery is required in case of chronic pain and after failure of conservative treatment. The authors present here the surgical technique and results of a 2-portals endoscopic resection of a calcaneonavicular synostosis. Both visualization and working portals must be identified with accuracy around the tarsal coalition with fluoroscopic control and according to the localization of the superficial peroneus nerve, to avoid neurologic damages during the resection. The endoscopic procedure provides a better visualization of the whole resection area and allows to achieve a complete resection and avoid plantar residual bone bar. The other important advantage of the endoscopic technique is the possibility to assess and treat in the same procedure-associated pathologies such as degenerative changes in the lateral side of the talar head with debridement and resection.
跟骨-舟骨融合是一种先天性异常，其特征为跟骨和舟骨之间的连接。在慢性疼痛和保守治疗失败的情况下需要手术。作者在此介绍了一种经皮内镜下切除跟舟骨融合的手术技术及结果。在透视控制下，根据腓浅神经的定位，必须准确识别跗骨融合周围的可视化和工作通道，以避免在切除过程中造成神经损伤。内镜手术可更好地观察整个切除区域，并可实现完全切除，避免足底残留骨条。内镜技术的另一个重要优点是可以在同一手术过程中评估和治疗相关病变，如用清创和切除来治疗外侧距骨头部的退行性改变。
