Posterior Arthroscopic Subtalar Joint Arthrodesis (Pasta)

Naohiro Shibuya; Alden Simmons; Frank Felix

doi:10.1016/j.cpm.2023.02.002

Posterior Arthroscopic Subtalar Joint Arthrodesis (Pasta)

Clin Podiatr Med Surg. 2023 Jul;40(3):471-481. doi: 10.1016/j.cpm.2023.02.002. Epub 2023 Mar 21.

Authors

Naohiro Shibuya¹, Alden Simmons², Frank Felix²

Affiliations

¹ University of Texas Rio Grande Valley, School of Podiatric Medicine. Electronic address: naohiro.shibuya@utrgv.edu.
² Baylor Scott and White Memorial Hospital, Texas A&M Health Science Center.

PMID: 37236684
DOI: 10.1016/j.cpm.2023.02.002

Abstract

The arthroscopic approach provides a manageable postoperative course in terms of wound healing, pain control, and bone healing when compared with an open procedure. In particular, posterior arthroscopic subtalar joint arthrodesis (PASTA) allows a reproducible and viable alternative to standard lateral-portal subtalar joint (STJ) arthrodesis without violating sinus or canalis tarsi neurovascular structures. Additionally, those patients who have undergone previous total ankle arthroplasty, arthrodesis, or talonavicular joint arthrodesis may be better served with PASTA over open arthrodesis if STJ fusion becomes necessary. This article describes the unique PASTA surgical procedure and its helpful tips and pearls.

Keywords: Arthroscopy; Distraction; Endoscopy; Fusion; Push-pull.

Publication types

Review

MeSH terms

Ankle
Ankle Joint / diagnostic imaging
Ankle Joint / surgery
Arthrodesis / methods
Arthroscopy / methods
Humans
Subtalar Joint* / diagnostic imaging
Subtalar Joint* / surgery