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ankle Arthroscopy

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https://www.readbyqxmd.com/read/27871968/lateral-ligament-reconstruction-procedures-for-the-ankle
#1
REVIEW
Yves Tourné, Christian Mabit
Capsule/ligament lesions of the lateral compartment of the ankle lead to lateral laxity, which is a prime contributor to chronic ankle instability. Lateral ligament reconstruction stabilizes the joint. Exhaustive preoperative clinical and paraclinical work-up is essential. The present article classifies, presents and criticizes the main techniques in terms of long-term stabilization and reduction of osteoarthritis risk. Anatomic ligament repair with reinforcement (mainly extensor retinaculum) or anatomic ligament reconstruction are the two recommended options...
November 18, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27843798/chronic-ankle-instability-current-perspectives
#2
REVIEW
Omar A Al-Mohrej, Nader S Al-Kenani
Ankle sprain is reported to be among the most common recurrent injuries. About 20% of acute ankle sprain patients develop chronic ankle instability. The failure of functional rehabilitation after acute ankle sprain leads to the development of chronic ankle instability. Differentiation between functional and anatomical ankle instability is very essential to guide the proper treatment. Stability testing by varus stress test and anterior drawer test should be carried out. Subtalar instability is an important pathology that is commonly by passed during the assessment of chronic ankle instability...
October 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27816101/role-of-ankle-arthroscopy-in-management-of-acute-ankle-fracture
#3
Kwok Bill Chan, Tun Hing Lui
PURPOSE: To report the operative findings of ankle arthroscopy during open reduction and internal fixation of acute ankle fractures. METHODS: This was a retrospective review of 254 consecutive patients with acute ankle fractures who were treated with open reduction and internal fixation of the fractures, and ankle arthroscopy was performed at the same time. The accuracy of fracture reduction, the presence of syndesmosis disruption and its reduction, and the presence of ligamentous injuries and osteochondral lesions were documented...
November 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27795947/posterior-ankle-impingement-syndrome-a-systematic-four-stage-approach
#4
REVIEW
Youichi Yasui, Charles P Hannon, Eoghan Hurley, John G Kennedy
Posterior ankle impingement syndrome (PAIS) is a common injury in athletes engaging in repetitive plantarflexion, particularly ballet dancers and soccer players. Despite the increase in popularity of the posterior two-portal hindfoot approach, concerns with the technique remain, including; the technical difficulty, relatively steep learning curve, and difficulty performing simultaneous anterior ankle arthroscopy. The purpose of the current literature review is to provide comprehensive knowledge about PAIS, and to describe a systematic four-stage approach of the posterior two-portal arthroscopy...
October 18, 2016: World Journal of Orthopedics
https://www.readbyqxmd.com/read/27769090/-treatment-of-osteochondral-lesions-in-the-ankle-a-guideline-from-the-group-clinical-tissue-regeneration-of-the-german-society-of-orthopaedics-and-traumatology-dgou
#5
M Aurich, D Albrecht, P Angele, C Becher, S Fickert, J Fritz, P E Müller, P Niemeyer, M Pietschmann, G Spahn, M Walther
Background: Osteochondral lesions (OCL) of the ankle are a common cause of ankle pain. Although the precise pathophysiology has not been fully elucidated, it can be assumed that a variety of factors are responsible, mainly including traumatic events such as ankle sprains. Advances in arthroscopy and imaging techniques, in particular magnetic resonance imaging (MRI), have improved the possibilities for the diagnosis of OCLs of the ankle. Moreover, these technologies aim at developing new classification systems and modern treatment strategies...
October 21, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27659360/a-cadaveric-study-showing-the-anatomical-variations-in-the-branches-of-the-dorsalis-pedis-artery-at-the-level-of-the-ankle-joint-and-its-clinical-implication-in-ankle-arthroscopy
#6
S Parikh, E Dawe, C Lee, T Whitehead-Clarke, C Smith, S Bendall
Introduction Pseudoaneurysm formation following ankle arthroscopy is a rare but potentially catastrophic complication. The placement of anterior ankle portals carries inherent risk to the superficial and deep peroneal nerves, as well as to the dorsalis pedis artery. Anatomical variations in the dorsalis pedis and the presence of branches at the joint line may increase the risk of vascular injury and pseudoaneurysm formation during arthroscopy. There is limited anatomical evidence available regarding the branches of the dorsalis pedis artery, which occur at the point at which they cross the ankle joint...
September 23, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27621264/preemptive-local-anesthesia-in-ankle-arthroscopy
#7
Henryk Liszka, Artur Gądek
BACKGROUND: Complex anesthesia is increasingly used in order to reduce postoperative pain and accelerate rehabilitation. The aim of this study was to evaluate the efficacy and safety of preemptive local anesthesia combined with general or spinal anesthesia in ankle arthroscopy. METHODS: From January 2014 to February 2016, 80 ankle anterior arthroscopies were performed. Patients were randomly assigned to one of 4 groups, depending on the type of anesthesia: A, general and local preemptive; B, spinal and local preemptive; C, general and placebo; D, spinal and placebo...
December 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27613816/arthroscopic-evaluation-of-syndesmotic-instability-and-malreduction
#8
Douglas E Lucas, B Collier Watson, G Alex Simpson, Gregory C Berlet, Christopher F Hyer
: Ankle fractures are a common injury treated by orthopaedic surgeons. The distal tibiofibular syndesmosis can be injured during these fractures as well as in isolation. They pose a significant challenge with regard to the diagnosis of instability as well as evaluating reduction after fixation. Multiple studies have demonstrated that traditional radiographic analysis fails to accurately identify syndesmotic diastasis, instability, or malreduction. Ankle arthroscopy has been proposed as an alternative way to evaluate the syndesmosis...
September 9, 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/27599444/arthroscopy-of-the-foot-and-ankle
#9
EDITORIAL
Sean T Grambart
No abstract text is available yet for this article.
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27599443/current-update-on-foot-and-ankle-arthroscopy
#10
EDITORIAL
Thomas Zgonis
No abstract text is available yet for this article.
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27599441/small-joint-arthroscopy-in-the-foot
#11
REVIEW
Christopher L Reeves, Amber M Shane, Trevor Payne, Zac Cavins
Arthroscopy has advanced in the foot and ankle realm, leading to new innovative techniques designed toward treatment of small joint abnormality. A range of abnormalities that are currently widespread for arthroscopic treatment in larger joints continues to be translated to congruent modalities in the small joints. Small joint arthroscopy offers relief from foot ailments with a noninvasive element afforded by arthroscopy. Early studies have found comparable results from arthroscopic soft tissue procedures as well as arthrodesis of the small joints when compared with the standard open approach...
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27599435/imaging-of-common-arthroscopic-pathology-of-the-ankle
#12
REVIEW
Sean T Grambart
Arthroscopy of the ankle is used in the treatment and diagnosis of a spectrum of intra-articular pathology including soft tissue and osseous impingement, osteochondral lesions, arthrofibrosis, and synovitis. To help identify the correct pathology, imaging techniques are often used to aid the surgeon in diagnosing pathology and determining best treatment options. This article discusses the use of imaging in various ankle pathologies.
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27599434/instrumentation-in-arthroscopy
#13
REVIEW
Eric A Barp, John G Erickson, Eric R Reese
In recent years, arthroscopic procedures of the foot and ankle have seen a significant increase in both indications and popularity. Furthermore, technological advances in video quality, fluid management, and other arthroscopy-specific instruments continue to make arthroscopic procedures more effective with reproducible outcomes. As surgeons continue to use this approach, it is important that they have a complete understanding of the instrumentation available to them, including their indications and limitations...
October 2016: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27550928/os-trigonum-excision-in-dancers-via-an-open-posteromedial-approach
#14
Jessica H Heyer, Donald J Rose
BACKGROUND: An os trigonum is a potential source of posterior ankle pain in dancers, often associated with flexor hallucis longus (FHL) pathology. Options for operative excision include open excision, subtalar arthroscopy, and posterior endoscopy. The purpose of this paper was to present a series of dancers who underwent excision of a symptomatic os trigonum via an open posteromedial approach. METHODS: This study is a retrospective case series of 40 ankles in 38 dancers who underwent os trigonum excision via an open posteromedial approach with FHL tenolysis between 2000 and 2013...
August 22, 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27492688/when-can-i-drive-after-orthopaedic-surgery-a-systematic-review
#15
REVIEW
Kevin J DiSilvestro, Adam J Santoro, Fotios P Tjoumakaris, Eric A Levicoff, Kevin B Freedman
BACKGROUND: Patients often ask their doctors when they can safely return to driving after orthopaedic injuries and procedures, but the data regarding this topic are diverse and sometimes conflicting. Some studies provide observer-reported outcome measures, such as brake response time or simulators, to estimate when patients can safely resume driving after surgery, and patient survey data describing when patients report a return to driving, but they do not all agree. We performed a systematic review and quality appraisal for available data regarding when patients are safe to resume driving after common orthopaedic surgeries and injuries affecting the ability to drive...
December 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27484074/-management-of-osteochondral-lesions-of-the-ankle-joint-by-implantation-of-autologous-chondrocytes
#16
T Otaševič, P Vališ, M Rouchal, J Novák, M Repko, A Šprláková, M Krbec
UNLABELLED: PUPOSE OF THE STUDY The treatment of osteochondral lesions of weight-bearing joints remains a serious therapeutic challenge, largely due to the minimal ability of articular hyaline cartilage to regenerate. The authors present the long-term clinical and MRI results of treating deep chondral and osteochondral defects of the ankle joint by the method of implantation of autologous chondrocytes in the form of a solid chondrograft. MATERIAL AND METHODS The method of solid chondrograft implantation in the ankle joint was used in our Department from the year 2003...
2016: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/27462542/arthroscopically-assisted-open-reduction-internal-fixation-of-ankle-fractures-significance-of-the-arthroscopic-ankle-drive-through-sign
#17
William W Schairer, Benedict U Nwachukwu, David M Dare, Mark C Drakos
Standalone open reduction-internal fixation (ORIF) of unstable ankle fractures is the current standard of care. Intraoperative stress radiographs are useful for assessing the extent of ligamentous disruption, but arthroscopic visualization has been shown to be more accurate. Concomitant arthroscopy at the time of ankle fracture ORIF is useful for accurately diagnosing and managing syndesmotic and deltoid ligament injuries. The arthroscopic ankle drive-through sign is characterized by the ability to pass a 2...
April 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27389574/ankle-fracture-as-a-complication-of-hip-arthroscopy-a-case-report
#18
Kensuke Fukushima, Naonobu Takahira, Katsufumi Uchiyama, Mitsutoshi Moriya, Takeaki Yamamoto, Masashi Takaso
No abstract text is available yet for this article.
July 4, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27373182/editorial-commentary-ankle-arthroscopy-correct-portals-and-distraction-are-the-keys-to-success
#19
EDITORIAL
Richard D Ferkel
Access to all areas of the ankle during arthroscopy is always problematic. The use of the correct portals and distraction increases access in both the supine and prone positions. Noninvasive distraction up to 30 pounds is safe and effective to perform arthroscopy in the supine position, and avoids the potential complications of pin distraction.
July 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27343165/combined-innovative-portal-arthroscopy-and-fluoroscopy-assisted-reduction-and-fixation-in-subtle-injury-of-the-lisfranc-joint-complex-analysis-of-10-cases
#20
Shiu-Bii Lien, Hsain-Chung Shen, Leou-Chyr Lin
Subtle injuries of the Lisfranc joint complex are uncommon and difficult to diagnose clinically and thus are easily missed even by experienced orthopedic doctors. Misdiagnosed injuries can lead to chronic disability until eventual fusion surgery. We describe 10 cases diagnosed with subtle injury of the Lisfranc joint that were treated with combined innovative portal arthroscopy and fluoroscopy-assisted reduction and percutaneous screw fixation in an interfragmentary fashion. The distance between the first and second metatarsals (the Lisfranc distance) and that between the medial cuneiform and fifth metatarsal base (foot arch height) was measured before and after surgery...
June 21, 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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