Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Minimally Invasive Surgery - Ankle/Foot
Abstract number: 23325
MINIMALLY INVASIVE SURGERY OF SINUS TARSAL SYNDROME
Javier GONZALEZ-USTES, David BRAVO, Felix PARALS, Jose PISA, Eduard
SILES, Jaume RIERA, Miguel Angel RIBAU, Jesus CASTRO
Hospital De Badalona, Badalona (SPAIN)
The main goal of this report is to introduce minimally invasive surgery (MIS) as a
treatment for sinus tarsi syndrome. Up to now, an open curettage including regional
anaesthesia and preventing ischemia was necessary. We have been performing this
technique from November 2006 to July 2009, with a total of 17 cases. All of them
have been clinically followed and have answered the AOFAS score for ankle and
hindfoot. The follow-up has a range of 4-12 months. Criteria to indicate this surgical
procedure is: clinically demonstrated sinus tarsi syndrome with no response to
conservative treatment with non-steroidal anti-inflamatories and limited-in-time
response to steroids injection into the sinus. It consists on curettage of sinus tarsi
through a 2-3 mm lateral incision by inserting a specific reamer and profuse washing.
No preventing ischemia and just local anaesthesia are needed, so the patient leaves
the hospital two or three hours later walking on his own wearing a rigid-soled opened
shoe. The patients with tibialis posterior insufficiency were advised to keep wearing
the medial support insole. Curettage was performed as a unique surgical procedure
in 5 cases and 12 associated with other MIS procedures in the remaining hallux
valgus, heel spur and metatarsalgia plus hammer toe. We have had no wound
infection and no latter steroid injections or re-operations have been performed in any
case. No references in literature have been found about this technique and its
results. Conclusions: Is a useful technique for this pathology du to the good results.
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