Subtalar Arthroscopy with Calcaneal Skeletal Traction in a Hanging Position

Several arthroscopic approaches to the subtalar joint have been developed in the supine, lateral, or prone position. However, it is difficult to use the posteromedial portal with the patient in the supine or lateral position and the anterolateral portal with the patient prone. Furthermore, obtaining joint distraction in the lateral or prone position is difficult. We present a technique that enables the combination of 2 posterior portals and lateral portals to the subtalar joint with calcaneal skeletal traction in a hanging position for better visualization and instrumentation of the joint.