Tam Cheuk Yin, Lui Tun Hing
Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China.
Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, and Hong Kong SAR, China.
Arthrosc Tech. 2022 Nov 18;11(12):e2319-e2325. doi: 10.1016/j.eats.2022.08.026. eCollection 2022 Dec.
Large talar bone cyst can cause pathologic fracture and damage to the articular cartilage, resulting in persistent swelling and pain of the subtalar joint and ankle joint. For a symptomatic cyst not responding to conservative treatment, surgery can be considered. Open debridement and bone grafting frequently require extensive soft-tissue dissection or even different types of malleolar osteotomy for proper access to the lesion. Arthroscopic treatment of talar bone cyst is a feasible alternative minimally invasive approach to reduce surgical trauma and eliminate the need for osteotomy. Bone cyst of the anterior part of the talar body can be debrided via a bone window of the talar neck, which is normally devoid of cartilage. The purpose of this Technical Note is to describe the technique of arthroscopic treatment of bone cyst of anterior half of the talar body. This minimally invasive approach does not disrupt the normal articular cartilage of the talar dome.
距骨大囊肿可导致病理性骨折并损害关节软骨，导致距下关节和踝关节持续肿胀和疼痛。对于对保守治疗无反应的有症状囊肿，可考虑手术治疗。开放清创和植骨通常需要广泛的软组织解剖，甚至不同类型的踝关节截骨术才能正确暴露病变。关节镜治疗距骨囊肿是一种可行的替代微创方法，可减少手术创伤并避免截骨术。距骨体前部的骨囊肿可通过距骨颈的骨窗进行清创，该骨窗通常没有软骨。本技术说明的目的是描述关节镜治疗距骨体前半部分骨囊肿的技术。这种微创方法不会破坏距骨穹窿的正常关节软骨。
