Complications in Foot and Ankle Arthroscopy

Ferkel, Richard D.; Small, Henry N.; Gittins, Jeffrey E.

doi:10.1097/00003086-200110000-00010

Cited by 175 publications

(157 citation statements)

References 26 publications

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“…126 Certain ankle fractures (e.g., Weber type B distal fibular fracture, Tillaux fracture) also can be successfully treated by means of arthroscopy-assisted (open) reduction and internal fixation, which offers the advantage of direct visualization and treatment of concomitant intra-articular injuries. 305,310,379 Other procedures include arthroscopic ankle stabilization by means of radiofrequency and arthroscopy-assisted ankle arthrodesis.…”

Section: Indicationsmentioning

confidence: 99%

“…The main indications for anterior arthroscopy are for treatment of anterior impingement syndrome and talar osteochondral defects (OCDs). 126,424 Endoscopic surgery (i.e., both arthroscopic and endoscopic surgery) offers the possible advantages of direct visualization of structures, improved assessment of articular cartilage, less postoperative morbidity, faster as well as functional rehabilitation, earlier resumption of sports, and outpatient treatment. 93,348 The value of diagnostic arthroscopy is limited.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of osteochondral defects of the talus

Bergen

Leeuw

Dijk

2008

Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Mo

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Section: Indicationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment of osteochondral defects of the talus

Bergen

Leeuw

Dijk

2008

Revue de Chirurgie Orthopédique et Réparatrice de l'Appareil Mo

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“…12 Two patient had persistent stiffness in the MTP joint following debridement and excision of chondral lesion. A short post-operative immobilization with heel weight bearing for the first two weeks gives adequate rest for the joint to recover.…”

Section: Discussionmentioning

confidence: 99%

Metatarsophalangeal (MTP) Joint Pathology Management by Arthroscopy

Laksminarayana¹

2017

jmscr

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“…[11][12][13] One cadaveric study 14 has demonstrated that the anterocentral portal is relatively low risk for damaging the superficial peroneal nerve. However, in this study of 20 ankles, 90% of instruments in the anterocentral portal touched the dorsalis pedis artery and in one case there was a laceration of the deep peroneal nerve.…”

Section: Discussionmentioning

confidence: 99%

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

Parikh

Dawe

Lee

et al. 2017

annals

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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. OBJECTIVES The objective of the study was to describe the frequency and direction of branches of the dorsalis pedis crossing the ankle joint. MATERIALS AND METHODS Nineteen cadaveric feet were carefully dissected to explore the course of the dorsalis pedis artery, noting in particular the branching pattern at the joint line. RESULTS Eleven of the nineteen feet had a branch of the dorsalis pedis artery that crossed the level of the ankle joint. Out of these, six were lateral, four medial and one bilateral. Eight of the eleven specimens had one branch at, or just before, the level of the joint. Two specimens had two branches and one had three branches crossing the ankle, which were all in the same direction, crossing laterally to the main trunk of the dorsalis pedis. CONCLUSIONS Our study demonstrated high rates of branching of the dorsalis pedis artery at the level of the ankle joint. The role of these branches in pseudoaneurysm formation during anterior hindfoot surgery remains unclear.

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Complications in Foot and Ankle Arthroscopy

Cited by 175 publications

References 26 publications

Treatment of osteochondral defects of the talus

Treatment of osteochondral defects of the talus

Metatarsophalangeal (MTP) Joint Pathology Management by Arthroscopy

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

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