Abstract

Severe flatfoot deformities, often characterized by significant subtalar and midfoot joint collapse, pose a substantial challenge in orthopedic surgery. Traditional open surgical approaches for triple arthrodesis, while effective, are associated with increased morbidity, longer recovery times, and more postoperative complications. This study explores the efficacy and safety of a minimally invasive three-port arthroscopic triple arthrodesis technique as an alternative approach for correcting severe flatfoot deformities. The three-port arthroscopic technique involves the use of small incisions to insert an arthroscope and specialized instruments, allowing for detailed visualization and precise surgical manipulation of the subtalar, talonavicular, and calcaneocuboid joints. This minimally invasive approach aims to achieve the same corrective outcomes as traditional open surgery while minimizing tissue damage and optimizing recovery. A cohort of patients with severe flatfoot deformities underwent three-port arthroscopic triple arthrodesis. Preoperative and postoperative assessments, including radiographic analysis and functional outcome scores, were conducted to evaluate the correction of deformities, joint fusion rates, and overall patient recovery. The study also assessed intraoperative and postoperative complications, as well as functional improvements in gait and quality of life. Preliminary findings indicate that the three-port arthroscopic technique provides effective correction of severe flatfoot deformities, with high rates of successful joint fusion and notable improvements in functional outcomes. Patients experienced reduced postoperative pain, shorter recovery times, and fewer complications compared to traditional open surgery approaches. Radiographic evaluations showed satisfactory alignment and stability of the corrected foot structure. The three-port arthroscopic triple arthrodesis technique offers a promising minimally invasive alternative for managing severe flatfoot deformities. This approach not only enhances the precision of the surgical correction but also reduces the associated morbidity and accelerates patient recovery. Further studies with larger sample sizes and longer follow-up periods are warranted to confirm these findings and establish long-term efficacy and safety.