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Tarsal Tunnel Release Using a Mini-Incision and Single-Portal Endoscopy
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Background: This retrospective study aimed to describe the decompression of the tarsal tunnel and porta pedis using a mini-incision and single-portal endoscopy.
Methods: Thirty-one feet were evaluated and conservatively treated for tarsal tunnel syndrome between December 2013 and February 2019. Age, sex, medical history, and test results (those of nerve conduction studies, magnetic resonance imaging, and provocation tests) were compared. Foot-related quality of life assessments included subjective improvement and the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot-ankle score.
Results: Twenty women (77%) and six men (23%) (age range, 30–77 years) were included in the study. Overall, 26 feet (83.9%) underwent decompression of the tibial nerve, medial plantar nerve, and lateral plantar nerves; five of these feet (19.2%) underwent bilateral nerve decompression. The length of clinical follow-up ranged from 2 to 64 months (mean, 27.3 months). During postoperative evaluations, the average AOFAS score was 85.9 (range, 70–100). No significant difference between the AOFAS scores of healthy and unhealthy patients was found. The percentage of perceived improvement as reported by patients ranged from 50% to 100%.
Conclusions: The mini-incision approach is a viable option for tarsal tunnel surgery. With reduced dissection, the chances of complications and pain are minimized without compromising adequate external neurolysis. Therefore, patients may be able to perform early weightbearing/ambulation on the operated extremity.
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