{"id":11697,"date":"2025-08-29T09:47:52","date_gmt":"2025-08-29T09:47:52","guid":{"rendered":"https:\/\/www.centre-ortho.ch\/technique-arthroscopique-du-tunnel-retro-talien\/"},"modified":"2025-09-06T12:28:48","modified_gmt":"2025-09-06T12:28:48","slug":"arthroscopic-technique-of-the-retrotalar-tunnel","status":"publish","type":"page","link":"https:\/\/www.centre-ortho.ch\/en\/arthroscopic-technique-of-the-retrotalar-tunnel\/","title":{"rendered":"Arthroscopic technique of the retrotalar tunnel"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"11697\" class=\"elementor elementor-11697\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-29697b79 conteneur_vid_0 e-flex e-con-boxed e-con e-parent\" data-id=\"29697b79\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-d243ebe0 conteneur_ariane_vid_0 e-con-full e-flex e-con e-child\" data-id=\"d243ebe0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-da176123 e-flex e-con-boxed e-con e-child\" data-id=\"da176123\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8093d712 ariane_vid_0 elementor-widget elementor-widget-breadcrumbs\" data-id=\"8093d712\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Welcome<\/span><\/p><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5236f384 video_vid_1 e-flex e-con-boxed e-con e-child\" data-id=\"5236f384\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a98b32c video_vid_1 elementor-widget__width-inherit elementor-widget elementor-widget-video\" data-id=\"0a98b32c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/3VUvpd6z6GA&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e5d3d0a9 conteneur_principal_vid_0 e-flex e-con-boxed e-con e-parent\" data-id=\"e5d3d0a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-cecb2dec e-con-full sticky-sidebar colonne_gauche_0 e-flex e-con e-child\" data-id=\"cecb2dec\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-c3e7f9c6 e-con-full e-flex e-con e-child\" data-id=\"c3e7f9c6\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-237fa2ca elementor-widget elementor-widget-shortcode\" data-id=\"237fa2ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b6fcfb67 e-con-full colonne_vid_0 e-flex e-con e-child\" data-id=\"b6fcfb67\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b00aea1b colonne_vid_1 pv-tv-label aleft elementor-widget-icon-box wgl-icon-box wgl-view-default button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"b00aea1b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fab-youtube\" aria-hidden=\"true\" viewbox=\"0 0 576 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M549.655 124.083c-6.281-23.65-24.787-42.276-48.284-48.597C458.781 64 288 64 288 64S117.22 64 74.629 75.486c-23.497 6.322-42.003 24.947-48.284 48.597-11.412 42.867-11.412 132.305-11.412 132.305s0 89.438 11.412 132.305c6.281 23.65 24.787 41.5 48.284 47.821C117.22 448 288 448 288 448s170.78 0 213.371-11.486c23.497-6.321 42.003-24.171 48.284-47.821 11.412-42.867 11.412-132.305 11.412-132.305s0-89.438-11.412-132.305zm-317.51 213.508V175.185l142.739 81.205-142.739 81.201z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Video type:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button no_text no_media\"><div class=\"button__content\"><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e562231 colonne_vid_2 pv-tv-value aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"8e562231\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Presentation of expertise<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0dfd09ef e-con-full colonne_vid_0 e-flex e-con e-child\" data-id=\"0dfd09ef\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f496c385 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"f496c385\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Anatomy:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Ankle<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-82de1192 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"82de1192\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Surgery:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Ankle arthroscopy<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa997fa9 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"fa997fa9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Pathology:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Posterior ankle impingement<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ee2ffed5 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"ee2ffed5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Thematic:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Surgery<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d9acba04 e-con-full colonne_vid_0 pv-cta-card e-flex e-con e-child\" data-id=\"d9acba04\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2292f850 conteneur_spec_vid_6 elementor-widget__width-inherit aleft elementor-widget-icon-box wgl-icon-box elementor-widget elementor-widget-wgl-button\" data-id=\"2292f850\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button  align-icon-left\" href=\"\/en\/consultation\/\" role=\"button\"><div class=\"button__content\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-calendar-day\" aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 464c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V192H0v272zm64-192c0-8.8 7.2-16 16-16h96c8.8 0 16 7.2 16 16v96c0 8.8-7.2 16-16 16H80c-8.8 0-16-7.2-16-16v-96zM400 64h-48V16c0-8.8-7.2-16-16-16h-32c-8.8 0-16 7.2-16 16v48H160V16c0-8.8-7.2-16-16-16h-32c-8.8 0-16 7.2-16 16v48H48C21.5 64 0 85.5 0 112v48h448v-48c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><span class=\"button__text\">Consultations<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7c347800 e-con-full e-flex e-con e-child\" data-id=\"7c347800\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c30c6331 elementor-widget elementor-widget-shortcode\" data-id=\"c30c6331\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e380668b e-con-full conteneur_droit_vid_0 e-flex e-con e-child\" data-id=\"e380668b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-fd9c3355 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"fd9c3355\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f599796f titre_vid_1 elementor-widget elementor-widget-heading\" data-id=\"f599796f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Arthroscopic technique of the retrotalar tunnel<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-beb96a9e paragraphe_vid_1 elementor-widget elementor-widget-text-editor\" data-id=\"beb96a9e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Dr. Vallotton details a specific surgical technique for retrotalar tunnel arthroscopy. He describes the instruments, operative steps, and precautions, emphasizing the importance of proper positioning and precise visualization to avoid complications.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a2b3c6b e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"6a2b3c6b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b4bcacb tabs_vid_1 tabs-full-width-yes elementor-widget elementor-widget-wgl-tabs\" data-id=\"1b4bcacb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-tabs wgl-tabs_swiper-wrapper tabs_align-justify\">\n            <div class=\"wgl-tabs_headings-wrap swiper\">\n                <div class=\"wgl-tabs_headings swiper-wrapper\"><h4 data-tab-id=\"wgl-tab_4571\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Doctors<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_4572\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Topics<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_4573\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Treatments<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_4574\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Advice<\/span>\n\n                    \n                <\/h4><\/div>\n        <\/div>\n\n        <div class=\"wgl-tabs_content-wrap\">                <div data-tab-id=\"wgl-tab_4571\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_dot list_primary_color\"><li class=\"translation-block\"><span><span class=\"word\"><span class=\"target fadeIn\" style=\"--wgl-text-delay: 30ms\">D<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 60ms\">r<\/span><\/span> <span class=\"word\"><span class=\"target fadeIn\" style=\"--wgl-text-delay: 120ms\">J<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 150ms\">a<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 180ms\">c<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 210ms\">q<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 240ms\">u<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 270ms\">e<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 300ms\">s<\/span><\/span> <span class=\"word\"><span class=\"target fadeIn\" style=\"--wgl-text-delay: 360ms\">V<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 390ms\">a<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 420ms\">l<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 450ms\">l<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 480ms\">o<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 510ms\">t<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 540ms\">t<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 570ms\">o<\/span><span class=\"target fadeIn\" style=\"--wgl-text-delay: 600ms\">n<\/span><\/span><\/span><\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_4572\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_dot list_primary_color\"><li>Preparation of the material<\/li><li> Operating room<\/li><li> Steps of surgery<\/li><li> Tunnel visualization<\/li><li> Precautions and complications<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_4573\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_check_circle list_primary_color\"><li>Retrotibial arthroscopy<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_4574\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_check list_primary_color\"><li>respect for the alignment of the instruments<\/li><li>visualization of the long flexor tendon<\/li><li>neurovascular precautions<\/li><\/ul>                <\/div>\n\n                    <\/div>\n        <\/div><!-- .wgl-tabs -->\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-533a287a elementor-widget elementor-widget-shortcode\" data-id=\"533a287a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6392d886 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"6392d886\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d8add006 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"d8add006\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Posterior ankle impingement: understanding the anatomy of the retrotalar tunnel<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce375fd0 elementor-widget elementor-widget-text-editor\" data-id=\"ce375fd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Posterior ankle impingement occurs when the tendon and capsulo-ligamentous structures are compressed behind the talus during plantar flexion. The flexor hallucis longus (FHL) tendon passes through a true retrotalar tunnel where a fibrous pulley and the posterior talocalcaneal ligament can thicken and impede gliding. This situation particularly affects athletes exposed to repeated plantar flexion positions, such as dance or football, and results in posterior pain, impingement, and sometimes reduced performance.<br><br>The goal of treatment is to restore space and mobility to the FHL while preserving neighboring structures. When conservative measures fail, retrotalar arthroscopy is a minimally invasive option that allows for precise visualization of the posterior subtalar joint, identification of sources of impaction, and release of the tendon in its tunnel to restore smooth propulsion mechanics.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f13bf42b e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"f13bf42b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-15c18895 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"15c18895\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When to consider retrotalar tunnel arthroscopy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f9c1016 elementor-widget elementor-widget-text-editor\" data-id=\"7f9c1016\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The indication is discussed in the presence of persistent posterior pain, increased in plantar flexion, and functional discomfort despite rest, physiotherapy and adaptation of activity. The examination often finds sensitivity to posteromedial palpation and hallux flexion tests. Imaging provides guidance but sometimes remains non-specific; clinical correlation takes precedence.<br><br>In active subjects, arthroscopy can rule out associated bone pathology (os trigonum impingement, spurs) and assess subtalar stability. It is part of a graded strategy that aims to quickly relieve pain while preserving tissues and minimizing iatrogenic risks.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1c4a9962 e-con-full conteneur_citation_vid_0 e-flex e-con e-child\" data-id=\"1c4a9962\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-977baa33 conteneur_citation_vid_1 aleft elementor-widget-icon-box wgl-icon-box wgl-view-default elementor-widget elementor-widget-wgl-infobox\" data-id=\"977baa33\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-quote-left\" aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 256h-80v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8c-88.4 0-160 71.6-160 160v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48zm-288 0H96v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8C71.6 32 0 103.6 0 192v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h5 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-56c0705\">The real difficulty is to begin the dissection on the posterior aspect of the talus.<\/span><\/span><\/h5><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3b2e062d e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"3b2e062d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7e33c900 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"7e33c900\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Operative preparation and safety principles<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-91a18bec elementor-widget elementor-widget-text-editor\" data-id=\"91a18bec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The prone position, careful protection of the bony reliefs and the placement of two posterior portals (medial and lateral) ensure a horizontal and controlled instrument trajectory. Effective irrigation maintains a clear field, a safe condition for progressing in contact with the ligamentous landmarks and the FHL. Navigation is carried out under strict visual control, respecting the axis of the instruments and avoiding any deep penetration towards the posteromedial neurovascular structures.<br><br>Before any resection procedure, arthroscopy confirms the exact location of the conflict and checks the relationship between the tendon, the pulley and the posterior subtalar joint.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-19cb5317 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"19cb5317\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4c2f0f40 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"4c2f0f40\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Key actions: subtalar exposure and release of the FHL<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7b1e427d elementor-widget elementor-widget-text-editor\" data-id=\"7b1e427d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>After identification, the fascial fibers are cleaned to expose the posterior plane of the subtalar joint. The reasoned section of the posterior talocalcaneal ligament widens the view and allows identification of the FHL pulley. A progressive release of this pulley reestablishes the tunnel space and allows free sliding of the tendon. Dedicated instruments (shaver, radiofrequency) are used with short strokes, maintaining the horizontal orientation to avoid any deviation towards the vascular-nervous planes.<br><br>External mobilization maneuvers confirm at the end of the procedure the restoration of tendon glide.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-5154f9dd e-con-full conteneur_citation_vid_0 e-flex e-con e-child\" data-id=\"5154f9dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-06fd58da conteneur_citation_vid_1 aleft elementor-widget-icon-box wgl-icon-box wgl-view-default elementor-widget elementor-widget-wgl-infobox\" data-id=\"06fd58da\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-quote-left\" aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 256h-80v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8c-88.4 0-160 71.6-160 160v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48zm-288 0H96v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8C71.6 32 0 103.6 0 192v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h5 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-56c0705\">The horizontality of the instruments must be respected to avoid trajectory errors.<\/span><\/span><\/h5><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f0056935 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"f0056935\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3091b444 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"3091b444\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Prevent complications and check critical points<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ea5ce04 elementor-widget elementor-widget-text-editor\" data-id=\"5ea5ce04\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Orientation errors expose the patient to vascular and nervous system injuries and insufficient resection of the pulley. Systematic checks are performed: quality of irrigation, constant identification of the FHL, free sliding test, and, if necessary, radiological control to confirm the level treated. Incomplete resection can allow impingement to persist; conversely, excessive resection poses a risk to the tendon. Technical rigor and careful progression are crucial to achieve a lasting result.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-41bbf6e6 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"41bbf6e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-aad54283 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"aad54283\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Rehabilitation and resumption of activities<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25803c66 elementor-widget elementor-widget-text-editor\" data-id=\"25803c66\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Early rehabilitation promotes recovery: pain and edema management, active mobilizations, and proprioceptive work targeted at the foot-ankle chain. Weight-bearing is gradual, with a return to sports movements guided by the absence of pain and the quality of motor control. The goal is a functional foot, without catching, allowing hallux propulsion and subtalar stability in exposed activities such as dance or football.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ed47a660 e-con-full conteneur_tags_0 e-flex e-con e-child\" data-id=\"ed47a660\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-15843093 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"15843093\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/arthroscopy\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">arthroscopy<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a37cc62a conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"a37cc62a\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/ankle\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">ankle<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8990776e conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"8990776e\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/conflit-posterieur\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">later conflict<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-742a96e8 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"742a96e8\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/retro-italian-tunnel\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">retro-talar tunnel<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9093865c conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"9093865c\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/surgical-technique\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">surgical technique<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-dc0013fb e-con-full e-flex e-con e-parent\" data-id=\"dc0013fb\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-bca2a2f8 elementor-widget elementor-widget-shortcode\" data-id=\"bca2a2f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-24b55c61 e-con-full e-flex e-con e-parent\" data-id=\"24b55c61\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-304d1542 elementor-widget elementor-widget-shortcode\" data-id=\"304d1542\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-77c778a9 e-con-full e-flex e-con e-parent\" data-id=\"77c778a9\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0ee4dc93 elementor-widget elementor-widget-shortcode\" data-id=\"0ee4dc93\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Dr. Vallotton details a specific surgical technique for retrotalar tunnel arthroscopy. He describes the instruments, the operative steps, and the precautions to take.<\/p>","protected":false},"author":1,"featured_media":15142,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[77,76],"tags":[197,374,375,377,376],"class_list":["post-11697","page","type-page","status-publish","has-post-thumbnail","hentry","category-dr-jacques-vallotton","category-videos","tag-arthroscopie","tag-cheville","tag-conflit-posterieur","tag-technique-chirurgicale","tag-tunnel-retro-talien"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages\/11697","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/comments?post=11697"}],"version-history":[{"count":0,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages\/11697\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media\/15142"}],"wp:attachment":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media?parent=11697"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/categories?post=11697"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/tags?post=11697"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}