Endoscopic resection of a calcaneonavicular coalition

Calcaneonavicular coalition is a congenital anomaly characterized by a connection between the calcaneus and the navicular. Surgery is required in case of chronic pain and after failure of conservative treatment. The authors present here the surgical technique and results of a 2-portals endoscopic re...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2010-05, Vol.18 (5), p.669-672
Main Authors: Bauer, T., Golano, P., Hardy, P.
Format: Article
Language:English
Subjects:
Accuracy
Adult
Ankle
Arthroscopy - methods
Bones
Calcaneus - abnormalities
Calcaneus - surgery
Failure
Female
Foot Joints - abnormalities
Humans
Knees
Medicine
Medicine & Public Health
Orthopedics
Orthopedics - methods
Pain
Sports
Surgery
Synostosis - surgery
Tarsal Bones - abnormalities
Tarsal Bones - surgery
Techniques
Visualization
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Description
Summary:Calcaneonavicular coalition is a congenital anomaly characterized by a connection between the calcaneus and the navicular. Surgery is required in case of chronic pain and after failure of conservative treatment. The authors present here the surgical technique and results of a 2-portals endoscopic resection of a calcaneonavicular synostosis. Both visualization and working portals must be identified with accuracy around the tarsal coalition with fluoroscopic control and according to the localization of the superficial peroneus nerve, to avoid neurologic damages during the resection. The endoscopic procedure provides a better visualization of the whole resection area and allows to achieve a complete resection and avoid plantar residual bone bar. The other important advantage of the endoscopic technique is the possibility to assess and treat in the same procedure-associated pathologies such as degenerative changes in the lateral side of the talar head with debridement and resection.
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-010-1086-4