Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong, China.
Arthrosc Tech. 2016 Nov 14;5(6):e1311-e1316. doi: 10.1016/j.eats.2016.07.023. eCollection 2016 Dec.
Tarsometatarsal (Lisfranc) osteoarthritis can be a disabling condition and is commonly due to posttraumatic causes. Tarsometatarsal arthrodesis is indicated if the pain does not subdue with conservative treatment. Classically, this is performed as an open procedure. The purpose of this technical note is to describe a minimally invasive approach of arthroscopic arthrodesis of the involved tarsometatarsal joints. The arthroscopic procedure is performed through the junction portals of the involved articulation. It has the advantages of better cosmesis, less wound complication, less bone resection, and more thorough joint debridement. However, it is contraindicated if there is an associated significant foot deformity or shortening of the involved foot rays.
跗跖（Lisfranc）骨关节炎可能是一种致残性疾病，通常由创伤后原因引起。如果疼痛经保守治疗后未缓解，则需进行跗跖关节融合术。传统上，这是一种开放性手术。本技术说明的目的是描述一种微创方法，用于对受累的跗跖关节进行关节镜下关节融合术。关节镜手术通过受累关节的交界入口进行。它具有美容效果更好、伤口并发症更少、骨切除更少以及关节清创更彻底等优点。然而，如果存在相关的严重足部畸形或受累足趾缩短，则该手术为禁忌。
