Lui Tun Hing
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.
Arthrosc Tech. 2017 Sep 4;6(5):e1495-e1499. doi: 10.1016/j.eats.2017.06.003. eCollection 2017 Oct.
Tarsometatarsal (Lisfranc) destruction of the tarsometatarsal articulation of the lesser rays is most commonly due to midfoot Charcot neuroarthropathy. Tarsometatarsal arthrodesis is indicated when conservative management cannot relieve the symptoms. The purpose of this Technical Note is to describe a minimally invasive approach of arthroscopic arthrodesis of the destructed lesser ray tarsometatarsal joints. The arthroscopic procedure is performed through the lateral and P1-2 Lisfranc portals. 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 associated significant foot deformity or shortening of the lesser foot rays.
小趾列跗跖关节（Lisfranc关节）的跗跖破坏最常见于中足夏科特神经关节病。当保守治疗无法缓解症状时，需行跗跖关节融合术。本技术说明的目的是描述一种微创关节镜下融合破坏的小趾列跗跖关节的方法。关节镜手术通过外侧和第1、2跖跗关节（Lisfranc）入路进行。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的优点。然而，如果伴有明显的足部畸形或小趾列缩短，则为禁忌证。
