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Safe and Effective Tendoscopy around the Ankle with A 2-mm Diameter Operative System

CATEGORY: Arthroscopy; Basic Sciences/Biologics INTRODUCTION/PURPOSE: To assess whether 2-mm-diameter operative tendoscopy of the tibialis posterior, peroneal, and Achilles tendons was safe and effective in a cadaveric model. METHODS: A 2-mm-diameter arthroscopic system was used to perform a tendosc...

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Autores principales: Stornebrink, Tobias, Stufkens, Sjoerd A., Appelt, Daniel, Wijdicks, Coen A., Kerkhoffs, Gino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794977/
http://dx.doi.org/10.1177/2473011421S00461
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author Stornebrink, Tobias
Stufkens, Sjoerd A.
Appelt, Daniel
Wijdicks, Coen A.
Kerkhoffs, Gino
author_facet Stornebrink, Tobias
Stufkens, Sjoerd A.
Appelt, Daniel
Wijdicks, Coen A.
Kerkhoffs, Gino
author_sort Stornebrink, Tobias
collection PubMed
description CATEGORY: Arthroscopy; Basic Sciences/Biologics INTRODUCTION/PURPOSE: To assess whether 2-mm-diameter operative tendoscopy of the tibialis posterior, peroneal, and Achilles tendons was safe and effective in a cadaveric model. METHODS: A 2-mm-diameter arthroscopic system was used to perform a tendoscopic procedure in 10 nonpaired, freshfrozen, human ankles. Standard tendoscopic portals were utilized. Visual examination and operative reach with tailored tendoscopic instruments within the tendon sheaths were recorded and documented. Adhesiolysis and vincula resections were performed. After dissection, distances between portal tracts and neurovascular structures were measured and the tendons were inspected for signs of iatrogenic damage. RESULTS: The entire tendon sheath and tendon of the tibialis posterior, peroneus brevis, and Achilles tendons were visualized and reached with tailored operative instruments. The proximal part of the peroneus longus tendon was visible and reachable from proximally up to the cuboid bone distally. Adhesiolysis and vincula resections were successfully performed in all specimens. The mean distances between portal tracts and local neurovascular structures ranged between 9.4 and 19.2 mm and there were no cases of contact. None of the tendons showed signs of iatrogenic damage. CONCLUSION: Two-millimeter-diameter operative tendoscopy provided safe and effective visualization and operative reach of the tibialis posterior, peroneal, and Achilles tendons.
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spelling pubmed-87949772022-01-28 Safe and Effective Tendoscopy around the Ankle with A 2-mm Diameter Operative System Stornebrink, Tobias Stufkens, Sjoerd A. Appelt, Daniel Wijdicks, Coen A. Kerkhoffs, Gino Foot Ankle Orthop Article CATEGORY: Arthroscopy; Basic Sciences/Biologics INTRODUCTION/PURPOSE: To assess whether 2-mm-diameter operative tendoscopy of the tibialis posterior, peroneal, and Achilles tendons was safe and effective in a cadaveric model. METHODS: A 2-mm-diameter arthroscopic system was used to perform a tendoscopic procedure in 10 nonpaired, freshfrozen, human ankles. Standard tendoscopic portals were utilized. Visual examination and operative reach with tailored tendoscopic instruments within the tendon sheaths were recorded and documented. Adhesiolysis and vincula resections were performed. After dissection, distances between portal tracts and neurovascular structures were measured and the tendons were inspected for signs of iatrogenic damage. RESULTS: The entire tendon sheath and tendon of the tibialis posterior, peroneus brevis, and Achilles tendons were visualized and reached with tailored operative instruments. The proximal part of the peroneus longus tendon was visible and reachable from proximally up to the cuboid bone distally. Adhesiolysis and vincula resections were successfully performed in all specimens. The mean distances between portal tracts and local neurovascular structures ranged between 9.4 and 19.2 mm and there were no cases of contact. None of the tendons showed signs of iatrogenic damage. CONCLUSION: Two-millimeter-diameter operative tendoscopy provided safe and effective visualization and operative reach of the tibialis posterior, peroneal, and Achilles tendons. SAGE Publications 2022-01-21 /pmc/articles/PMC8794977/ http://dx.doi.org/10.1177/2473011421S00461 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Stornebrink, Tobias
Stufkens, Sjoerd A.
Appelt, Daniel
Wijdicks, Coen A.
Kerkhoffs, Gino
Safe and Effective Tendoscopy around the Ankle with A 2-mm Diameter Operative System
title Safe and Effective Tendoscopy around the Ankle with A 2-mm Diameter Operative System
title_full Safe and Effective Tendoscopy around the Ankle with A 2-mm Diameter Operative System
title_fullStr Safe and Effective Tendoscopy around the Ankle with A 2-mm Diameter Operative System
title_full_unstemmed Safe and Effective Tendoscopy around the Ankle with A 2-mm Diameter Operative System
title_short Safe and Effective Tendoscopy around the Ankle with A 2-mm Diameter Operative System
title_sort safe and effective tendoscopy around the ankle with a 2-mm diameter operative system
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794977/
http://dx.doi.org/10.1177/2473011421S00461
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