Tarsal Tunnel Release Using a Mini-Incision and Single-Portal Endoscopy.

IF 0.5 4区医学 Q4 ORTHOPEDICS

Journal of the American Podiatric Medical Association Pub Date : 2025-03-01 DOI:10.7547/22-147

Michael H Wynn

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引用次数: 0

Abstract

Background: This retrospective study aimed to describe the decompression of the tarsal tunnel and porta pedis using a mini-incision and single-portal endoscopy.

Methods: Thirty-one feet were evaluated and conservatively treated for tarsal tunnel syndrome between December 2013 and February 2019. Age, sex, medical history, and test results (those of nerve conduction studies, magnetic resonance imaging, and provocation tests) were compared. Foot-related quality of life assessments included subjective improvement and the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot-ankle score.

Results: Twenty women (77%) and six men (23%) (age range, 30-77 years) were included in the study. Overall, 26 feet (83.9%) underwent decompression of the tibial nerve, medial plantar nerve, and lateral plantar nerves; five of these feet (19.2%) underwent bilateral nerve decompression. The length of clinical follow-up ranged from 2 to 64 months (mean, 27.3 months). During postoperative evaluations, the average AOFAS score was 85.9 (range, 70-100). No significant difference between the AOFAS scores of healthy and unhealthy patients was found. The percentage of perceived improvement as reported by patients ranged from 50% to 100%.

Conclusions: The mini-incision approach is a viable option for tarsal tunnel surgery. With reduced dissection, the chances of complications and pain are minimized without compromising adequate external neurolysis. Therefore, patients may be able to perform early weightbearing/ambulation on the operated extremity.

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使用小切口和单门静脉内窥镜进行跗骨隧道松解术。

背景：本回顾性研究旨在描述使用小切口和单门静脉内窥镜对跗骨隧道和足门进行减压。方法：2013年12月至2019年2月，对31脚跗骨隧道综合征进行评估和保守治疗。比较年龄、性别、病史和检查结果（神经传导检查、磁共振成像和激发试验）。足部相关生活质量评估包括主观改善和美国矫形足踝协会（AOFAS）后足踝评分。结果：20名女性（77%）和6名男性（23%）（年龄范围30-77岁）纳入研究。总的来说，26英尺（83.9%）接受了胫骨神经、足底内侧神经和足底外侧神经的减压；其中5只（19.2%）行双侧神经减压。临床随访时间2 ~ 64个月，平均27.3个月。术后评估时，平均AOFAS评分为85.9分（范围70-100）。健康组与不健康组的AOFAS评分无显著差异。患者报告的感知改善百分比从50%到100%不等。结论：小切口入路是一种可行的手术方法。随着剥离的减少，并发症和疼痛的机会被最小化，而不影响充分的外神经松解。因此，患者可能能够在手术的肢体上进行早期负重/行走。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the American Podiatric Medical Association 医学-整形外科

CiteScore

1.10

自引率

0.00%

发文量

128

审稿时长

6-12 weeks

期刊介绍： The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.