Do Patient Positioning and Portal Placement for Arthroscopic Subtalar Arthrodesis Matter?

Orthopaedic Journal of Sports Medicine
Alan G ShamrockKyle R Duchman

Abstract

Arthroscopic subtalar arthrodesis was first described over 2 decades ago and originally performed in the lateral decubitus or supine position using anterolateral and posterolateral portals situated about the fibula. More recently, several authors have advocated for prone positioning utilizing posteromedial and posterolateral portals with an optional accessory lateral portal. To date, a comparison of these techniques has been limited. To determine the effect of patient positioning and portal placement on complication rates after arthroscopic subtalar arthrodesis. Systematic review; Level of evidence, 4. A systematic review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Patients were placed into 1 of 3 groups: the lateral group if they were positioned lateral or supine with lateral-based portals; the 2-portal prone group if they were positioned prone with posteromedial and posterolateral portals; or the 3-portal prone group if posteromedial, posterolateral, and accessory lateral portals were utilized in the prone position. Inverse variance-weighted fixed-effects models were used to evaluate pooled estimates. A total of 20 studies examining 484 feet in 468 patient...Continue Reading

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