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Subtalar Arthroscopic Surgery Utilizing 1.9-mm Diameter Needle Arthroscopy for Osteochondral Lesions of the Subtalar Joint Without any Invasive Distraction: A Report of Three Cases

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Subtalar Arthroscopic Surgery Utilizing 1.9-mm Diameter Needle Arthroscopy for Osteochondral Lesions of the Subtalar Joint Without any Invasive Distraction: A Report of Three Cases

Yoshiharu Shimozono, MD, PhD, JAPAN Daisuke Mori, MD, JAPAN Masahiko Kobayashi, MD, PhD, JAPAN Fumiharu Yamashita, MD, PhD, JAPAN

Kyoto Shimogamo Hospital, Kyoto, Kyoto, JAPAN

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Anatomic Location

Ankle / Foot / Calf

Anatomic Structure

Cartilage

Treatment / Technique

Arthroscopy

Patient Populations

Sport Specific Population

Sports Medicine

Sport Specific Injuries

Summary: Subtalar arthroscopic surgery using 1.9-mm diameter needle arthroscopy is a safe and effective surgical treatment for subtalar OCLs without any invasive distraction and disruption to the surrounding tissues.

Introduction

Subtalar arthroscopy is used for the treatment of subtalar osteochondral lesion (OCL). However, an invasive bone distraction technique is typically necessary to visualize joints and treat lesions. In this report, we present three cases of arthroscopic bone marrow stimulation with platelet-rich plasma (PRP) without invasive distraction using 1.9-mm diameter needle arthroscopy for subtalar joint OCLs.

Methods

Three patients who underwent arthroscopic bone marrow stimulation for subtalar joint OCL were included. The mean age was 27 years (29-37), and the mean follow-up time was 22.0 months (15-27). The OCLs were located in the posterior facet of the calcaneus in all patients. A 1.9-mm diameter arthroscopic system was utilized through the anterolateral portal. Bone marrow stimulation was performed through the middle portal. All patients received PRP injections after surgery. The JSSF Scale and VAS scores were evaluated.

Results

None of the patients required any invasive distraction technique to enter the subtalar joint and visualize the lesions. Manual distraction alone was sufficient for all patients. The mean JSSF score improved significantly from 70.3 (65-74) to 96.7 (90-100). The mean VAS score was 5.7 (4-7) preoperatively and 0.3 (0-1) at the final follow-up. All patients were able to return to sports activities. No complications were observed.

Conclusions

Subtalar arthroscopic surgery using 1.9-mm diameter needle arthroscopy is a safe and effective surgical treatment for subtalar OCLs without any invasive distraction and disruption to the surrounding tissues.

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Subtalar Arthroscopic Surgery Utilizing 1.9-mm Diameter Needle Arthroscopy for Osteochondral Lesions of the Subtalar Joint Without any Invasive Distraction: A Report of Three Cases

Subtalar Arthroscopic Surgery Utilizing 1.9-mm Diameter Needle Arthroscopy for Osteochondral Lesions of the Subtalar Joint Without any Invasive Distraction: A Report of Three Cases

Introduction

Methods

Results

Conclusions

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Subtalar Arthroscopic Surgery Utilizing 1.9-mm Diameter Needle Arthroscopy for Osteochondral Lesions of the Subtalar Joint Without any Invasive Distraction: A Report of Three Cases

Subtalar Arthroscopic Surgery Utilizing 1.9-mm Diameter Needle Arthroscopy for Osteochondral Lesions of the Subtalar Joint Without any Invasive Distraction: A Report of Three Cases

Introduction

Methods

Results

Conclusions