The present invention provides improved methods for correction of temporomandibular joint internal derangement with closed lock via small incision surgical technique. In one embodied form, the unique method comprises the steps of: (a) effecting visualization and orientation of the surgical site of a patient utilizing an arthroscopic device comprising a mechanism for prescribed calibration of the arthroscope depth; (b) effecting arthroscopic inspection of the surgical site, and in particular, the superior compartment of the temporomandibular joint; and (c) effecting lysis comprising resection and incision of adhesions disposed between disc and fossa of the temporomandibular joint region, concommittent with disc displacement. The inventive surgical technique includes an "arthroscopic sweep" of the superior compartment of the TMJ with lysis comprising resects of superior compartment adhesions. Subsequent to lysis, the superior compartment is thoroughly lavaged via irrigation and suction. Preferably, a pressure dressing is placed to cover the surgical wound, and can be removed within about 12 hours from the surgical procedure.
A new surgical technique, the Barrett-Day endoscopic plantar fasciotomy procedure, is used to relieve the symptoms of heel spur syndrome. The positioning of the plantar fascia ligament is determined, and the patient is prepared for surgery. A small, vertical incision is made in the medial side of the foot, and the adipose tissue is spread. A fascial elevator is inserted into the first incision to separate the plantar fascia from the surrounding tissue, creating a channel. A slotted canula and trocar is inserted into the channel, and a second incision is made on the lateral side of the foot, allowing the canula and trocar to substantially pierce the foot. The trocar is removed, and an endoscope is inserted into the canula through the medial portal. A cutting instrument is inserted into the lateral portal of the canula, and is used to release the plantar fascia from the heel bone. Once the plantar fascia has been released from the heel bone, the instruments are removed, and a bandage is placed around heel. The procedure allows the patient to immediately bear weight on the heel after the operation is complete.
