Koji Hayashi, M.D., Tsukasa Kumai, M.D., Yasuhito Tanaka, M.D.

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Presentation transcript:

Endoscopic Resection of a Talocalcaneal Coalition Using a Posteromedial Approach Koji Hayashi, M.D., Tsukasa Kumai, M.D., Yasuhito Tanaka, M.D. Arthroscopy Techniques Volume 3, Issue 1, Pages e39-e43 (February 2014) DOI: 10.1016/j.eats.2013.08.005 Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 1 Intraoperative photograph showing the endoscope in the proximal portal and the power instrument in the distal portal. Arthroscopy Techniques 2014 3, e39-e43DOI: (10.1016/j.eats.2013.08.005) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 2 Preoperative marking for PMA. The portal positions, medial malleolus, posterior tibial artery, and site of the coalition are marked. (Po1, viewing portal; Po2, working portal.) Arthroscopy Techniques 2014 3, e39-e43DOI: (10.1016/j.eats.2013.08.005) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 3 Endoscopic photographs of a left foot. (A) The TCC is visualized. (B) The surface of the coalition is debrided with a shaver. (C) A probe can be inserted in the subtalar joint after sufficient resection of the coalition. Arthroscopy Techniques 2014 3, e39-e43DOI: (10.1016/j.eats.2013.08.005) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 4 Intraoperative fluoroscopic picture showing that the power instrument is positioned correctly. Arthroscopy Techniques 2014 3, e39-e43DOI: (10.1016/j.eats.2013.08.005) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 5 Coronal computed tomography images of a TCC. (A) The preoperative image shows an extensive non-osseous coalition (oval). (B) The postoperative image shows that the coalition is sufficiently resected (circle). Arthroscopy Techniques 2014 3, e39-e43DOI: (10.1016/j.eats.2013.08.005) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 6 Schema of PA. (Po1, viewing portal; Po2, working portal.) Arthroscopy Techniques 2014 3, e39-e43DOI: (10.1016/j.eats.2013.08.005) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

Fig 7 Schema of PMA. (Po1, viewing portal; Po2, working portal.) Arthroscopy Techniques 2014 3, e39-e43DOI: (10.1016/j.eats.2013.08.005) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions