Vilá Y Rico Jesús, Ojeda Thies Cristina, Parra Sanchez Guillermo
Hospital Universitario Doce de Octubre, Madrid, Spain; Department of Surgery, Universidad Complutense, Madrid, Spain.
Hospital Universitario Doce de Octubre, Madrid, Spain.
Arthrosc Tech. 2016 Jan 25;5(1):e85-8. doi: 10.1016/j.eats.2015.10.009. eCollection 2016 Feb.
Surgical fusion of the subtalar joint is a procedure indicated to alleviate pain of subtalar origin, such as in post-traumatic osteoarthritis, adult-acquired flatfoot deformity, and other disorders. Open subtalar arthrodesis has been performed with predictable results, but concerns exist regarding injury to proprioception and local vascularity due to wide surgical dissection. Minimally invasive techniques try to improve results by avoiding these issues but have a reputation for being technically demanding. We describe the surgical technique for arthroscopic subtalar arthrodesis, which has proved to be a safe and reliable technique in our experience, with consistent improvements in American Orthopaedic Foot & Ankle Society scores.
距下关节手术融合是一种用于缓解距下关节源性疼痛的手术,例如创伤后骨关节炎、成人获得性平足畸形及其他病症。开放性距下关节融合术已取得可预测的效果,但由于广泛的手术解剖,人们担心会损伤本体感觉和局部血管。微创技术试图通过避免这些问题来改善效果,但因技术要求高而声名在外。我们描述了关节镜下距下关节融合术的手术技术,根据我们的经验,该技术已证明是一种安全可靠的技术,美国矫形足踝协会评分持续改善。