Operative Approaches to Ankle and Hindfoot Arthroscopy.
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ABSTRACT: Level of evidence
Level V, expert opinion.
SUBMITTER: Carreira DS
PROVIDER: S-EPMC8564949 | biostudies-literature | 2020 Jan
REPOSITORIES: biostudies-literature
Publications
Operative Approaches to Ankle and Hindfoot Arthroscopy.
Carreira Dominic S DS Garden Steven R SR Ueland Thomas T
Foot & ankle orthopaedics 20200114 1
The role of arthroscopy in the management of ankle and hindfoot pathology management has increased greatly in recent years with the potential for lower complication rates, faster recovery, improved access, and improved outcomes when compared to open techniques. Procedural variations exist as techniques aim to optimize lesion access, decrease operative time, and improve patient safety. Our goal is to summarize the described approaches and patient positionings common in minimally invasive arthrosc ...[more]
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Project description: Not available
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Project description:Posterior hindfoot arthroscopy is a useful tool to treat a variety of foot and ankle pathologies. Skeletal distraction of the hindfoot to increase visualization in posterior ankle arthroscopy has been described in previous studies, but the described distractor is not readily available in most operating rooms. We describe a case of posterior hindfoot distraction in the prone position using a pneumatic limb positioner and other readily available Food and Drug Administration-approved equipment to apply tension to a transcalcaneal wire. The distraction technique we describe does not require any custom equipment, can fit on most standard operating tables, and is readily available in standard operating rooms. This method achieves adequate distraction, resulting in better visualization and more space for arthroscopic instrumentation.
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