Journal article
Posterior Ankle and Hindfoot Arthroscopy
JBJS essential surgical techniques, Vol.2(3), pp.e15-e15
07/2012
DOI: 10.2106/JBJS.ST.L.00003
PMCID: PMC6554073
PMID: 31321138
Abstract
Posterior ankle and hindfoot arthroscopy, performed with use of posteromedial and posterolateral portals with the patient in the prone position, has become an important diagnostic and therapeutic procedure for various intra-articular and extra-articular disorders.
If you are planning to use fluoroscopy for surgery and wire distraction, position the patient prone, flex the contralateral knee, and wrap the contralateral leg to a padded holder.
Invasive distraction is used primarily to improve access to the ankle and subtalar joints.
Using a mini-c-arm fluoroscopy unit to guide portal placement, place the posterolateral and posteromedial portals just lateral and medial to the Achilles tendon.
Specific procedures include posterior arthroscopic arthrodesis of the subtalar joint, ankle arthrodesis, and excision of the os trigonum with tenolysis of the flexor hallucis longus tendon.
Close the skin incision with nonabsorbable nylon sutures, and apply a sterile bulky dressing.
Postoperatively, a plaster splint or walking boot with the foot in neutral is used for the first five to seven days.
Posterior ankle and hindfoot arthroscopy was performed in 189 ankles (186 consecutive patients with a mean age of 37.1 years).
IndicationsContraindicationsPitfalls & Challenges.
Details
- Title: Subtitle
- Posterior Ankle and Hindfoot Arthroscopy
- Creators
- Florian Nickisch - University of UtahAlexej Barg - University of UtahCharles L Saltzman - University of UtahTimothy C Beals - University of UtahDavide E Bonasia - University of Iowa Hospitals and ClinicsPhinit Phisitkul - University of IowaJohn E Femino - University of IowaAnnunziato Amendola - University of Iowa
- Resource Type
- Journal article
- Publication Details
- JBJS essential surgical techniques, Vol.2(3), pp.e15-e15
- DOI
- 10.2106/JBJS.ST.L.00003
- PMID
- 31321138
- PMCID
- PMC6554073
- ISSN
- 2160-2204
- eISSN
- 2160-2204
- Language
- English
- Date published
- 07/2012
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984305873002771
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