Two-millimetre diameter operative arthroscopy of the ankle is safe and effective View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2020-02-17

AUTHORS

Tobias Stornebrink, J. Nienke Altink, Daniel Appelt, Coen A. Wijdicks, Sjoerd A. S. Stufkens, Gino M. M. J. Kerkhoffs

ABSTRACT

PurposeTechnical innovation now offers the possibility of 2-mm diameter operative arthroscopy: an alternative to conventional arthroscopy that no longer uses inner rod-lenses. The purpose of this study was to assess whether all significant structures in the ankle could be visualized and surgically reached during 2-mm diameter operative arthroscopy, without inflicting iatrogenic damage.MethodsA novel, 2-mm diameter arthroscopic system was used to perform a protocolled arthroscopic procedure in 10 fresh-frozen, human donor ankles. Standard anteromedial and anterolateral portals were utilized. Visualization and reach with tailored arthroscopic instruments of a protocolled list of articular structures were recorded and documented. A line was etched on the most posterior border of the talar and tibial cartilage that was safely reachable. The specimens were dissected and distances between portal tracts and neurovascular structures were measured. The articular surfaces of talus and tibia were photographed and inspected for iatrogenic damage. The reachable area on the articular surface was calculated and analysed.ResultsAll significant structures were successfully visualized and reached in all specimens. The anteromedial portal was not in contact with neurovascular structures in any specimen. The anterolateral portal collided with a branch of the superficial peroneal nerve in one case but did not cause macroscopically apparent harm. On average, 96% and 85% of the talar and tibial surfaces was reachable respectively, without causing iatrogenic damage.Conclusion2-mm diameter operative arthroscopy provides safe and effective visualization and surgical reach of the anterior ankle joint. It may hold the potential to make ankle arthroscopy less invasive and more accessible. More... »

PAGES

3080-3086

References to SciGraph publications

  • 2002-12-10. Technique of synovial biopsy of metacarpophalangeal joints using the needle arthroscope in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2014-10-22. Anatomical relations of anterior and posterior ankle arthroscopy portals: a cadaveric study in EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY & TRAUMATOLOGY
  • 1999-11. Needle Arthroscopy of the Knee with Synovial Biopsy Sampling: Technical Experience in 150 Patients in CLINICAL RHEUMATOLOGY
  • 2014-08-24. Iatrogenic articular cartilage injuries during ankle arthroscopy in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2012-06-05. Complications in ankle arthroscopy in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2019-11-29. Ankle arthroscopy: the wave that’s coming in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00167-020-05889-7

    DOI

    http://dx.doi.org/10.1007/s00167-020-05889-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1124915534

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/32065244


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