RT Journal
A1 Ferkel, Richard D.
T1 In Which Position Do We Perform Arthroscopy of the Hindfoot—Supine or Prone?Commentary on an article by Florian Nickisch, MD, et al.: “Postoperative Complications of Posterior Ankle and Hindfoot Arthroscopy”
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2012
FD March 7
VO 94
IS 5
SP e33 1
OP 2
DO 10.2106/JBJS.K.01634
UL http://dx.doi.org/10.2106/JBJS.K.01634
AB 
In the mid-1990s, van Dijk, Amendola, and others introduced the concept of posterior hindfoot arthroscopy (PHA) performed with the patient in the prone position3,4. This was stimulated by renewed interest in arthroscopically treating posterior ankle impingement, including removal of the os trigonum or Stieda process and other pathology. Since that time, there have been a number of reports on PHA, including its safety, indications, and results. As expertise with this procedure has improved, the indications for PHA have increased and include debridement and microfracture of osteochondral lesions of the talus, excision of the os trigonum, release of the flexor hallucis longus tendon, subtalar arthrodesis, and treatment of posttraumatic arthrofibrosis, calcaneal fractures, and Achilles tendon disorders5.