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J Am Podiatr Med Assoc. 2009 Sep-Oct;99(5):443-6.

A two-portal posterior endoscopic approach in the treatment of a complex talus fracture: a case report.

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Department of Orthopaedics and Traumatology, Istanbul University, Cerrahpasa Faculty of Medicine, Cerrahpasa Istanbul, Turkey.


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.

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