足踝微創手術

Minimal Invasive Surgery in Foot and Ankle

足踝內視鏡的發展，使許多過去只能以開刀方式治療的疾病，能以更精準與微創的方式診斷與治療。近十年來，後踝關節鏡、距下關節鏡、與足踝肌腱內視鏡，成功地減少足踝手術可能的軟組織傷害、減少疼痛、以及減少傷口併發症。後踝關節鏡可以診斷治療後踝夾擊症候群；距下關節鏡不僅成功地治療跗骨竇症候群的病患，也使這個診斷更加精確；足踝肌腱內視鏡則有效治療脛後肌肌腱、腓骨肌肌腱、與跟腱的病變，提供傳統切開手術以外的選擇。慢性踝關節不穩定的患者，也能用更微創的方式，修補外側韌帶，同時治療相關的關節內病變。

The diagnosis and treatment of foot and ankle diseases have become more accurate and minimally invasive with the advances of foot and ankle arthroscopy. Over the past decade, posterior ankle arthroscopy, subtalar arthroscopy, and tendoscopy successfully reduced the potential soft tissue injuries, postsurgical pain, and wound-related complications. Posterior ankle arthroscopy allowed the diagnosis and treatment of posterior ankle impingement syndrome. Subtalar arthroscopy could not only manage the symptoms in sinus tarsi syndrome, but also refined the accuracy of this diagnosis. Tendoscopy managed tendinopathy of posterior tibial tendon, peroneal tendon, and Achilles tendon with success, thus offering an alternative to traditional open surgery. Arthroscopic repair of lateral ankle ligament for chronic lateral ankle instability reduced the soft tissue injury, and could managed associated intra-articular pathology simultaneously.