A push-pull distraction method for arthroscopic subtalar joint arthrodesis.
Unlike ankle joint arthroscopy, distraction of the subtalar joint can be challenging. We introduce a powerful distraction method that can be used during an arthroscopic subtalar joint arthrodesis procedure using a "push-pull" technique. A fully threaded screw is used to push the talus while the calcaneus is pulled to distract the joint. The technique allows the surgeon to access the rather tight joint without disrupting a significant amount of the ligamentous and capsular structures. It also allows preservation of the vascular structures that supply the talus. The "push-pull" screw can also be converted to a second point of fixation at the end of the procedure.
Associate Professor, Department of Surgery, Texas A&M Health and Science Center College of Medicine, College Station, TX; Chief, Section of Podiatry, Department of Surgery, Central Texas Veterans Affairs Health Care System, Temple, TX; and Staff, Baylor Scott and White Health Care System, Temple, TX. Electronic address: shibuya@medicine.tamhsc.edu.
Naohiro
N
Shibuya
Postgraduate Year III Resident, Scott and White Health Science Center, Texas A&M University Health Science Center College of Medicine, Temple, TX.
Rebecca S
RS
Smith
Postgraduate Year II Resident, Scott and White Health Science Center, Texas A&M University Health Science Center College of Medicine, Temple, TX.
Laura A
LA
Escobedo
Clinical Assistant Professor, Department of Surgery, Texas A&M Health and Science Center College of Medicine; and Staff, Section of Podiatry, Department of Surgery, Central Texas Veterans Affairs Health Care System, Waco, TX.
Monica R
MR
Agarwal
D001174:Arthrodesis / Q000379:methods*; D001182:Arthroscopy; D001863:Bone Screws; D006801:Humans; D013380:Subtalar Joint / Q000601:surgery*
arthroscopic fusion; arthroscopy; distractor; posterior portals; talocalcaneal joint