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A Two-Portal Posterior Endoscopic Approach in the Treatment of a Complex Talus Fracture

A Case Report

Tahir Ogut, MD ^*, Aksel Seyahi, MD , Onder Aydingoz, MD ^* and Nafiz Bilsel, MD ^*

^* Department of Orthopaedics and Traumatology, Istanbul University, Cerrahpasa Faculty of Medicine, Cerrahpasa Istanbul, Turkey.
VKV American Hospital, Orthopaedic Surgery, Guzelbahce sok No: 20, Nisantasi, Istanbul, Turkey.

Corresponding author: Tahir Ogut, MD, Department of Orthopaedics and Traumatology, Istanbul University, Cerrahpasa Faculty of Medicine, Cerrahpasa Istanbul, 34098 Turkey. (E-mail: drtahirogut{at}gmail.com)

Abstract

The two-portal hindfoot endoscopy is a relatively new technique that is becoming increasingly popular. It gives excellent access to the posterior ankle compartment, the subtalar joint, and extra-articular structures. We report a 24-year-old man with a complex talus fracture involving the posterior part of the talar body and posterolateral process. He was treated endoscopically, with a two-portal posterior approach to the hindfoot. This approach allowed a better visualization and treatment of accompanying pathologies. Combined excision of the posterolateral process and fixation of the fracture was performed with the two-portal hindfoot endoscopy, which has not been previously described to our knowledge. The two-portal posterior endoscopic approach can be an attractive treatment alternative for the posterior part fractures of the talus, which can in turn, be a new indication for this technique. (J Am Podiatr Med Assoc 99(5): 443–446, 2009)