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Safe and Effective Anterior Ankle Arthroscopy with A 2-mm Diameter Operative System

CATEGORY: Ankle; Arthroscopy; Basic Sciences/Biologics INTRODUCTION/PURPOSE: 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. METHODS: A...

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Autores principales: Stornebrink, Tobias, Altink, Nienke, Appelt, Daniel, Wijdicks, Coen A., Stufkens, Sjoerd 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/PMC8795110/
http://dx.doi.org/10.1177/2473011421S00460
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author Stornebrink, Tobias
Altink, Nienke
Appelt, Daniel
Wijdicks, Coen A.
Stufkens, Sjoerd A.
Kerkhoffs, Gino
author_facet Stornebrink, Tobias
Altink, Nienke
Appelt, Daniel
Wijdicks, Coen A.
Stufkens, Sjoerd A.
Kerkhoffs, Gino
author_sort Stornebrink, Tobias
collection PubMed
description CATEGORY: Ankle; Arthroscopy; Basic Sciences/Biologics INTRODUCTION/PURPOSE: 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. METHODS: A 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. RESULTS: All 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. CONCLUSION: 2-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.
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spelling pubmed-87951102022-01-28 Safe and Effective Anterior Ankle Arthroscopy with A 2-mm Diameter Operative System Stornebrink, Tobias Altink, Nienke Appelt, Daniel Wijdicks, Coen A. Stufkens, Sjoerd A. Kerkhoffs, Gino Foot Ankle Orthop Article CATEGORY: Ankle; Arthroscopy; Basic Sciences/Biologics INTRODUCTION/PURPOSE: 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. METHODS: A 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. RESULTS: All 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. CONCLUSION: 2-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. SAGE Publications 2022-01-21 /pmc/articles/PMC8795110/ http://dx.doi.org/10.1177/2473011421S00460 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
Altink, Nienke
Appelt, Daniel
Wijdicks, Coen A.
Stufkens, Sjoerd A.
Kerkhoffs, Gino
Safe and Effective Anterior Ankle Arthroscopy with A 2-mm Diameter Operative System
title Safe and Effective Anterior Ankle Arthroscopy with A 2-mm Diameter Operative System
title_full Safe and Effective Anterior Ankle Arthroscopy with A 2-mm Diameter Operative System
title_fullStr Safe and Effective Anterior Ankle Arthroscopy with A 2-mm Diameter Operative System
title_full_unstemmed Safe and Effective Anterior Ankle Arthroscopy with A 2-mm Diameter Operative System
title_short Safe and Effective Anterior Ankle Arthroscopy with A 2-mm Diameter Operative System
title_sort safe and effective anterior ankle arthroscopy with a 2-mm diameter operative system
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8795110/
http://dx.doi.org/10.1177/2473011421S00460
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