eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
3/2016
vol. 11
 
Share:
Share:
abstract:
Original paper

Ultrasound-guided arthroscopic management of hallux rigidus

Łukasz M. Paczesny
,
Jacek Kruczyński

Videosurgery Miniinv 2016; 11 (3): 144-148
Online publish date: 2016/10/05
View full text Get citation
 
PlumX metrics:
Introduction: The use of metatarso-phalangeal joint arthroscopy in the treatment of osteochondritis dissecans was first described in 1988. The technique produces good results. However, it can be difficult to enter a joint when it is deformed by degenerative disease. Sonography is a modern visualisation modality which can be used in orthopaedic surgery.

Aim: To describe a method of intraoperative sonographic navigation during first metatarso-phalangeal joint arthroscopy.

Material and methods: The modality was used in 3 patients. The joint was visualised in the ultrasound scanner. After confirming the intra-articular position of the guide needle, a medial portal was established. The procedure started with the removal and vaporisation of the hypertrophic synovium. Gradual resection of the osteophytes was then carried out. The procedure was terminated after the ultrasound image showed that a smooth upper surface of the metatarsal head had been achieved.

Results: All 3 patients were satisfied with the procedure and function of the treated feet. Average surgery time was 81 min. No complications were found.

Conclusions: Mini-invasive treatment of hallux rigidus with sonography-guided arthroscopic cheilectomy appears to be a reproducible procedure leading to good clinical results. We encourage surgeons familiar with ultrasound visualisation of the joints to use the technique described in this paper in the arthroscopic treatment of hallux rigidus.
keywords:

arthroscopy, ultrasound-guided, ultrasonography, hallux rigidus

  
Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.