Jerosch J
Department of Orthopaedic Surgery, Westfälische Wilhelms University, Münster, Germany.
Knee Surg Sports Traumatol Arthrosc. 1998;6(2):122-8. doi: 10.1007/s001670050084.
Subtalar arthroscopy was performed in 18 patients with different diagnoses. Among standard portals the anterolateral ventral (ALV) portal was used for the arthroscope and the posterolateral dorsal (PLD) portal for instrumentation. In 4 patients the subtalar arthroscopy was used only for diagnostic purposes. In 14 patients arthroscopic surgery was carried out in the same session. The surgical procedures were partial synovectomy in 5 patients, resection of a loose body in 3 patients, a subtalar fusion in 3 patients, debridement of the tarsal sinus in 2 patients, and a resection of an unfused os trigonum in 1 patient. Subtalar arthroscopy is a standardised and reproducible procedure with new diagnostic and minimally invasive therapeutic options. We expect this procedure to become established in foot surgery in the near future.
对18例诊断各异的患者实施了距下关节镜检查。在标准入路中，前外侧腹侧（ALV）入路用于置入关节镜，后外侧背侧（PLD）入路用于器械操作。4例患者仅将距下关节镜检查用于诊断目的。14例患者在同一次手术中进行了关节镜手术。手术操作包括5例患者行部分滑膜切除术、3例患者行游离体切除术、3例患者行距下关节融合术、2例患者行跗骨窦清创术以及1例患者行未融合的三角骨切除术。距下关节镜检查是一种标准化且可重复的手术，具有新的诊断和微创治疗选择。我们预计该手术在不久的将来会在足部手术中得到确立。
