| Arthroscopic subtalar arthrodesis: the posterior approach in the prone position. | |
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MedLine Citation:
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PMID: 17418344 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Arthroscopic subtalar arthrodesis, as reported by Tasto, is done in the lateral decubitus position, and the portal sites are lateral. This report describes a new alternative method in which the patient is in the prone position and a posterior 2-portal approach is used, as described by van Dijk et al. The initial debridement and synovectomy are performed with 4- and 5-mm resectors. Debridement and decortication are done posterior to the interosseous ligament because only the posterior facet is fused. Denudation of the articular surfaces is performed with curettes, as well as 4.5- and 5.5-mm burs, to remove 2 mm of subchondral bone. Stabilization in 5 degrees of hindfoot valgus is accomplished with 2 percutaneous cannulated headless screws from the non-weight-bearing portion of the calcaneal tuberosity directed to a point 5 to 10 mm posterior to the anterior margin of the posterior facet. The advantages of this alternative treatment are better intra-articular visualization, more thorough preparation of the fusion site, and minimal bone removal of the lateral side with better control of the arthrodesis position and with less chance of malunion, as well as the possibility to perform a concomitant surgical fusion or debridement of the ankle joint during the same operative procedure with no need for additional portals or orientation. |
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Authors:
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Luis Perez Carro; Pau Golanó; Jordi Vega |
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Publication Detail:
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Type: Journal Article Date: 2007-02-20 |
Journal Detail:
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Title: Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association Volume: 23 ISSN: 1526-3231 ISO Abbreviation: Arthroscopy Publication Date: 2007 Apr |
Date Detail:
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Created Date: 2007-04-09 Completed Date: 2007-05-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8506498 Medline TA: Arthroscopy Country: United States |
Other Details:
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Languages: eng Pagination: 445.e1-4 Citation Subset: IM |
Affiliation:
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Servicio Traumatología y Cirugía Ortopédica, Hospital Universitario Marqués de Valdecilla y Centro Médico Lealtad, Santander, Spain. lpcarro@mundivia.es |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arthrodesis / methods* Arthroscopy / methods* Female Humans Joint Diseases / diagnosis, surgery Male Middle Aged Pain Measurement Range of Motion, Articular / physiology* Recovery of Function Risk Assessment Sampling Studies Subtalar Joint / physiopathology, surgery* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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