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Koji Hayashi, M.D., Tsukasa Kumai, M.D., Yasuhito Tanaka, M.D. 

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Presentation on theme: "Koji Hayashi, M.D., Tsukasa Kumai, M.D., Yasuhito Tanaka, M.D. "— Presentation transcript:

1 Endoscopic Resection of a Talocalcaneal Coalition Using a Posteromedial Approach 
Koji Hayashi, M.D., Tsukasa Kumai, M.D., Yasuhito Tanaka, M.D.  Arthroscopy Techniques  Volume 3, Issue 1, Pages e39-e43 (February 2014) DOI: /j.eats Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Intraoperative photograph showing the endoscope in the proximal portal and the power instrument in the distal portal. Arthroscopy Techniques 2014 3, e39-e43DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Preoperative marking for PMA. The portal positions, medial malleolus, posterior tibial artery, and site of the coalition are marked. (Po1, viewing portal; Po2, working portal.) Arthroscopy Techniques 2014 3, e39-e43DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Endoscopic photographs of a left foot. (A) The TCC is visualized. (B) The surface of the coalition is debrided with a shaver. (C) A probe can be inserted in the subtalar joint after sufficient resection of the coalition. Arthroscopy Techniques 2014 3, e39-e43DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Intraoperative fluoroscopic picture showing that the power instrument is positioned correctly. Arthroscopy Techniques 2014 3, e39-e43DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Coronal computed tomography images of a TCC. (A) The preoperative image shows an extensive non-osseous coalition (oval). (B) The postoperative image shows that the coalition is sufficiently resected (circle). Arthroscopy Techniques 2014 3, e39-e43DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 Schema of PA. (Po1, viewing portal; Po2, working portal.)
Arthroscopy Techniques 2014 3, e39-e43DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions

8 Fig 7 Schema of PMA. (Po1, viewing portal; Po2, working portal.)
Arthroscopy Techniques 2014 3, e39-e43DOI: ( /j.eats ) Copyright © 2014 Arthroscopy Association of North America Terms and Conditions


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