Tendoscopies in the foot and ankle

Monteagudo, Manuel; Martínez-de-Albornoz, Pilar; Cuervas-Mons, Manuel

doi:10.1016/j.fuspru.2021.04.001

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…Monteagudo et al described the use of an endoscopic medial approach for PTT and spring ligament pathology for PCFD in early stages. 21-23,27 Lui et al 15 highlighted the benefit to confirm spring ligament tears before surgical exploration to avoid unnecessary procedures and later presented a talonavicular endoscopic approach for spring ligament and Deltoid ligament repair. 16 Lui and Mak 17 then described an accessory portal placed plantar to the sheath.…”

Section: Discussionmentioning

confidence: 99%

The Potential of Endoscopic Spring Ligament Repair in Flatfoot Reconstruction

Masaragian¹,

Rega²,

Ameriso³

et al. 2023

Foot Ankle Int.

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Background: Spring ligament fulfils 2 main important functions: one, supporting the head of the talus and stabilizing the talonavicular joint, and the other, maintaining the longitudinal arch by acting as a static support. In this preliminary report, we describe an endoscopic repair for spring ligament injuries with modified portals. Methods: We performed a retrospective case series study from February 2019 to January 2022. Posterior tibial tendon and/or associated bone deformities were assessed at the same surgical procedure. All patients were ≥18 years old and they had more than 6 months of follow-up. The procedure was performed in 11 patients. Mean age was 46 years (range 18-63). Ten had concomitant bony realignment surgery, and 8 had posterior tibial tendon surgery. Results: In all patients, endoscopic spring ligament repair could be technically done. The modified portals were used in all procedures as described in the surgical technique. Three patients had a superficial lesion, 1 had a rupture <5 mm, 7 had a rupture >5 mm but not a complete rupture through the entire spring ligament. Most of the patients had good clinical results from the surgery that included endoscopic spring ligament debridement and/or repair at 2 years follow up Conclusion: In this small series we found that endoscopy may be an effective technique to diagnose and treat incomplete spring ligament injuries. Level of Evidence: Level IV,retrospective case series.

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