Foot and Ankle Arthroscopy: Latest and Emerging Techniques by the Leaders! (AANA22)-Advances in Foot and Ankle Posterior Arthroscopy

Video Transcription

Video Summary

In this video, Brian discusses subtalar fusion and arthroscopy. He starts by acknowledging the esteemed arthroscopy wizards of the foot and ankle and explains that he is filling in for Nenam Mandola who was supposed to give the talk. Brian explains that standard arthroscopy is commonly used and discusses the indications and portals used for the procedure. He then moves on to posterior arthroscopy, which he believes is increasing in usage. He emphasizes the importance of knowing the anatomy and particularly the location of the flexor hallucis longus (FHL) tendon. Brian explains that the prone position is preferred for posterior arthroscopy and provides guidance on how to identify the proper level and stay safe during the procedure. He mentions the use of thinner scopes and highlights the potential complications associated with posterior arthroscopy, particularly related to neurovascular structures. Brian discusses various examples of conditions that can be addressed using posterior arthroscopy, including posterior impingement, osteochondral lesions of the talus (OLT), and tarsal coalitions. He also mentions the posterior arthroscopic subtalar arthrodesis (PASA) procedure. Brian emphasizes the benefits of arthroscopic approaches, such as faster return to function, and discusses the use of bone graft substitutes in fusion procedures. Finally, he mentions ongoing studies on the outcomes of arthroscopic procedures and the importance of continuous improvement in the field. The video concludes with a question and answer session with the audience.

Asset Caption

Brian Lau, M.D.

Keywords

subtalar fusion

arthroscopy

posterior arthroscopy

flexor hallucis longus tendon

neurovascular structures