Does Patient Positioning and Portal Placement for Arthroscopic Subtalar Arthrodesis Matter?:

Foot & Ankle Orthopaedics

AlanShamrock¹ 

关键词: arthroscopic;    subtalar;    arthrodesis;    fusion;    hindfoot;    complications;    prone;    lateral;   

DOI  :  10.1177/2473011418S00435

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Category:ArthroscopyIntroduction/Purpose:Arthroscopic subtalar joint arthrodesis was first described over two decades ago. The procedure was originally performed with the patient in the lateral decubitus or supine position using anterolateral and posterolateral portals based on the fibula. More recently, several authors have advocated for prone positioning utilizing posteromedial and posterolateral portals. Proponents of the prone position cite improved intra-articular visualization with limited need for traction and more thorough preparation of the posterior facet. Multiple studies have compared arthroscopic to open subtalar arthrodesis and demonstrated similar fusion rates, lower morbidity, and a high level of patient satisfaction with the arthroscopic procedure. To our knowledge, this is the first study investigating how patient positioning and portal placement affects outcomes and morbidity for the arthroscopic procedure.Methods:A systematic review was performed according to PRISMA guidelines utilizin...

【 授权许可】

CC BY