Advanced Techniques in Arthroscopy of the Foot

  • Alastair Younger
  • Andrea Veljkovic
  • Michael Symes
  • Wafa Al Baluki


Less invasive techniques in foot and ankle surgery mean shorter incisions and less dissection. However the surgical goals of the procedure still have to be obtained. The potential benefits are fewer wound complications, less postoperative swelling, better maintenance of bone blood supply, and potentially better excision of cartilage in fusions. The disadvantages are getting the same correction of anatomy and ensuring correct placement of hardware in fusions.

Subtalar arthroscopy can be used for fracture reduction and fusion. Periarticular structures causing impingement or pain can be removed such as osteophytes or accessory ossicles.

Midfoot arthroscopy is primarily of assistance in fusion. MTP arthroscopy can be used to diagnose plantar plate injuries, assess cartilage loss, remove dorsal osteophytes, as well as perform fusion.


Subtalar arthroscopy Calcaneocuboid arthroscopy Talonavicular arthroscopy Navicular cuneiform arthroscopy Arthroscopic excision of tarsal coalition Tarsometatarsal arthroscopy Metatarsophalangeal arthroscopy 


  1. 1.
    Lui TH. Arthroscopic arthrodesis of the first metatarsophalangeal joint in hallux valgus deformity. Arthrosc Tech. 2017;6:e1481–7.CrossRefGoogle Scholar
  2. 2.
    Lui TH. Arthroscopic interpositional arthroplasty of the second metatarsophalangeal joint. Arthrosc Tech. 2016;5:e1333–8.CrossRefGoogle Scholar
  3. 3.
    Derner R, Naldo J. Small joint arthroscopy of the foot. Clin Podiatr Med Surg. 2011;28:551–60.CrossRefGoogle Scholar
  4. 4.
    Bauer T, Golano P, Hardy P. Endoscopic resection of a calcaneonavicular coalition. Knee Surg Sports Traumatol Arthrosc. 2010;18:669–72.CrossRefGoogle Scholar
  5. 5.
    Bonasia DE, Phisitkul P, Amendola A. Endoscopic coalition resection. Foot Ankle Clin. 2015;20:81–91.CrossRefGoogle Scholar
  6. 6.
    Gross CE, Neumann JA, Godin JA, DeOrio JK. Technique of arthroscopic treatment of impingement after total ankle arthroplasty. Arthrosc Tech. 2016;5:e235–9.CrossRefGoogle Scholar
  7. 7.
    Ahn JH, Choy WS, Lee KW. Arthroscopy of the first metatarsophalangeal joint in 59 consecutive cases. J Foot Ankle Surg. 2012;51:161–7.CrossRefGoogle Scholar
  8. 8.
    Hunt KJ. Hallux metatarsophalangeal (MTP) joint arthroscopy for hallux rigidus. Foot Ankle Int. 2015;36:113–9.CrossRefGoogle Scholar
  9. 9.
    Bonasia DE, Phisitkul P, Saltzman CL, Barg A, Amendola A. Arthroscopic resection of talocalcaneal coalitions. Arthroscopy. 2011;27:430–5.CrossRefGoogle Scholar
  10. 10.
    Knorr J, Soldado F, Menendez ME, Domenech P, Sanchez M, Sales de Gauzy J. Arthroscopic talocalcaneal coalition resection in children. Arthroscopy. 2015;31:2417–23.CrossRefGoogle Scholar
  11. 11.
    Hayashi K, Kumai T, Tanaka Y. Endoscopic resection of a talocalcaneal coalition using a posteromedial approach. Arthrosc Tech. 2013;3:e39–43.CrossRefGoogle Scholar
  12. 12.
    Knorr J, Accadbled F, Abid A, et al. Arthroscopic treatment of calcaneonavicular coalition in children. Orthop Traumatol Surg Res. 2011;97:565–8.CrossRefGoogle Scholar
  13. 13.
    Lui TH. Arthroscopy and endoscopy of the foot and ankle: indications for new techniques. Arthroscopy. 2007;23:889–902.CrossRefGoogle Scholar
  14. 14.
    Richardson AB, Deorio JK, Parekh SG. Arthroscopic debridement: effective treatment for impingement after total ankle arthroplasty. Curr Rev Musculoskelet Med. 2012;5:171–5.CrossRefGoogle Scholar
  15. 15.
    Schmid T, Younger A. First metatarsophalangeal joint degeneration. Arthroscopic Treatment Foot Ankle Clin. 2015;20:413–20.CrossRefGoogle Scholar
  16. 16.
    Lui TH, Yuen CP. Small joint arthroscopy in foot and ankle. Foot Ankle Clin. 2015;20:123–38.CrossRefGoogle Scholar
  17. 17.
    Nery C, Coughlin MJ, Baumfeld D, et al. Lesser metatarsal phalangeal joint arthroscopy: anatomic description and comparative dissection. Arthroscopy. 2014;30:971–9.CrossRefGoogle Scholar
  18. 18.
    Lui TH. First metatarsophalangeal joint arthroscopy in patients with hallux valgus. Arthroscopy. 2008;24:1122–9.CrossRefGoogle Scholar
  19. 19.
    Sherman TI, Kern M, Marcel J, Butler A, McGuigan FX. First metatarsophalangeal joint arthroscopy for osteochondral lesions. Arthrosc Tech. 2016;5:e513–8.CrossRefGoogle Scholar
  20. 20.
    Shirzad K, Viens NA, DeOrio JK. Arthroscopic treatment of impingement after total ankle arthroplasty: technique tip. Foot Ankle Int. 2011;32:727–9.CrossRefGoogle Scholar
  21. 21.
    Vaseenon T, Phisitkul P. Arthroscopic debridement for first metatarsophalangeal joint arthrodesis with a 2- versus 3-portal technique: a cadaveric study. Arthroscopy. 2010;26:1363–7.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2019

Authors and Affiliations

  • Alastair Younger
    • 1
    • 2
    • 3
  • Andrea Veljkovic
    • 1
  • Michael Symes
    • 2
  • Wafa Al Baluki
    • 3
  1. 1.Division of Distal Extremities, Department of OrthopaedicsUniversity of British Columbia, Footbridge Clinic for Integrated Orthopaedic CareVancouverCanada
  2. 2.St. Paul’s Hospital, University of British ColumbiaVancouverCanada
  3. 3.Department of OrthopaedicsSt-Paul’s Hospital, University Of British ColumbiaVancouverCanada

Personalised recommendations