1,846 results match your criteria Ankle Arthroscopy


Knotless Modified Arthroscopic-Broström Technique for Ankle Instability.

Foot Ankle Int 2019 Jan 11:1071100718820341. Epub 2019 Jan 11.

1 Department of Orthopaedic Surgery, Hospital Clinico Universidad de Chile, Clinica Universidad de Los Andes, Santiago, Chile.

Instability is a common sequela after repeated ankle sprains. When nonoperative treatment fails, open lateral ligament complex repair and reinforcement with the inferior extensor retinaculum has been the gold standard procedure. The recent advancements in arthroscopic techniques have created comparable biomechanical and functional results to open procedures. Read More

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http://dx.doi.org/10.1177/1071100718820341DOI Listing
January 2019

Presence of Subfibular Ossicle Does Not Affect the Outcome of Arthroscopic Modified Broström Procedure for Chronic Lateral Ankle Instability.

Arthroscopy 2019 Jan 3. Epub 2019 Jan 3.

Soonchunhyang University, Bucheon, Republic of Korea. Electronic address:

Purpose: To evaluate the clinical and radiological outcomes of the all-inside, arthroscopic, modified Broström procedure (MBP) used to treat chronic lateral ankle instability (CLAI) according to subfibular ossicle (SFO) status.

Methods: Between January 2013 and September 2016, we retrospectively analyzed CLAI patients who underwent the arthroscopic MBP. When performing the arthroscopic MBP, SFO was removed with all inside technique regardless of size. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07498063183103
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http://dx.doi.org/10.1016/j.arthro.2018.10.148DOI Listing
January 2019
2 Reads

The Origin of the Anterior Lateral Malleolar Artery From the Anterior Tibial Artery: A Fresh Cadaveric Study.

Foot Ankle Spec 2019 Jan 4:1938640018823066. Epub 2019 Jan 4.

Department of Orthopedics (IT, FH, KS), Institute of Biomedical Science, Tokushima University Graduate School, Tokushima, Japan.

The anterior lateral malleolar artery (ALMA), which usually originates from the anterior tibial artery (ATA), courses transversely and laterally, passing under the extensor digitorum longus and peroneus tertius tendons. Variations in the origin of the ALMA from the ATA can occur. Branches of the ATA, such as the ALMA, are prone to pseudoaneurysm. Read More

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http://dx.doi.org/10.1177/1938640018823066DOI Listing
January 2019
1 Read

Development of an Institutional Opioid Prescriber Education Program and Opioid-Prescribing Guidelines: Impact on Prescribing Practices.

J Bone Joint Surg Am 2019 Jan;101(1):5-13

Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY.

Background: Our institution developed a 1-hour mandatory narcotics-prescribing education program as well as postoperative opioid-prescribing guidelines in response to the opioid epidemic. The purpose of this study was to evaluate the effect of this hospital-wide opioid education and subsequent institution of postoperative opioid guidelines on opioid-prescribing practices after ambulatory surgery.

Methods: This retrospective study was performed at 1 academic orthopaedic hospital. Read More

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http://dx.doi.org/10.2106/JBJS.17.01645DOI Listing
January 2019
1 Read

Pseudoaneurysm of the Perforating Peroneal Artery following Ankle Arthroscopy.

Case Rep Orthop 2018 21;2018:9821738. Epub 2018 Nov 21.

Department of Orthopedics Surgery, Institute of Biomedical Science, Tokushima University Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, Japan.

The use of standard anterolateral and anteromedial portals in ankle arthroscopy results in reduced risk of vascular complications. Anatomical variations of the arterial network of the foot and ankle might render the vessels more susceptible to injury during procedures involving the anterior ankle joint. The literature, to our knowledge, reports only one case of a pseudoaneurysm involving the peroneal artery after ankle arthroscopy. Read More

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http://dx.doi.org/10.1155/2018/9821738DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280239PMC
November 2018

Outcome Comparison Between Functional Ankle Instability Cases With and Without Anterior Ankle Impingement: A Retrospective Cohort Study.

J Foot Ankle Surg 2019 Jan;58(1):52-56

Professor, Department of Orthopedics, Huashan Hospital of Fudan University, Shanghai, China. Electronic address:

Functional ankle instability (FAI) and anterior ankle impingement (AAI) are likely to occur simultaneously. Nevertheless, how AAI affects ankle instability remains largely unknown. This study aimed to assess patients with FAI + AAI and those having FAI without AAI after arthroscopic synovectomy combined with the modified Broström procedure. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.07.015DOI Listing
January 2019
0.979 Impact Factor

Arthroscopic treatment of lateral ankle instability. Is there a safe zone? An anatomic study.

Foot Ankle Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopedic Surgery, Hospital de Santa Maria, Centro Hospitalar Lisboa Norte EPE, Av. Prof. Egas Moniz, 1649-035 Lisboa, Portugal. Electronic address:

Background: The purpose of this study is to describe the relative location of superficial anatomic landmarks and likely location of structures at risk in order to predict the proximity of the later and avoid their injury during the arthroscopic treatment of lateral ankle instability.

Methods: Fifteen cadaver ankles were dissected. Based on superficial anatomic landmarks, the location and distances to the structures at risk (extensor tendons, peroneus tertius, peroneal tendons, main branch or intermediate branch of the superficial peroneal nerve, and the sural nerve) were measured. Read More

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http://dx.doi.org/10.1016/j.fas.2018.11.011DOI Listing
November 2018
1 Read

Pediatric and adolescent ankle instability: diagnosis and treatment options.

Curr Opin Pediatr 2019 Feb;31(1):69-78

Department of Orthopaedic Surgery.

Purpose Of Review: The purpose of this review is to discuss the epidemiology, pathoanatomy, diagnosis, and treatment for lateral ankle instability in pediatric patients.

Recent Findings: Chronic ankle instability is a common sequela of lateral ankle sprain in young athletes. Incidence is increasing, possibly due in part to inadequate treatment of first-time ankle sprains, as well as increased youth participation in organized and competitive sports. Read More

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http://dx.doi.org/10.1097/MOP.0000000000000720DOI Listing
February 2019
1 Read

The Effects of Needling Therapies on Muscle Force Production: A Systematic Review and Meta-Analysis.

J Orthop Sports Phys Ther 2018 Nov 30:1-38. Epub 2018 Nov 30.

Sports Medicine Research Institute, The Ohio State University Wexner Medical Center, Columbus, OH.

Study Design: Systematic review with meta-analysis.

Background: Needling has been shown to decrease pain in the short-term; however, its effects on muscle force production are unclear.

Objective: Evaluate the evidence regarding the comparative effects of needling on muscle force production. Read More

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http://dx.doi.org/10.2519/jospt.2019.8270DOI Listing
November 2018
7 Reads

Relationships among subjective patient-reported outcome, quality of life, and objective gait characteristics using wearable foot inertial-sensor assessment in foot-ankle patients.

Eur J Orthop Surg Traumatol 2018 Nov 28. Epub 2018 Nov 28.

Foot and Ankle Reconstruction/Arthroscopy and Athletic Injuries Knee and Ankle/Trauma, Department of Orthopaedics, St. Paul's Hospital, The University of British Columbia, Footbridge Clinic221-181 Keefer Place, Vancouver, BC, V6B 6C1, Canada.

Background: This study aimed to determine the relationships between subjective validated patient-reported outcomes and health-related quality of life, to objective gait characteristics in patients with foot-ankle conditions. Objective gait characteristics were obtained using a wearable foot inertial-sensor device as well as by assessing the relationships between spatiotemporal or gait parameters by analyzing the inter-metric correlations.

Methods: Fifty-two patients with foot-ankle conditions (37 women/15 men, aged 21-75 years) were included in this study. Read More

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http://dx.doi.org/10.1007/s00590-018-2346-0DOI Listing
November 2018
1 Read

Treatment of isolated talonavicular coalition: Case report and literature review.

J Int Med Res 2018 Nov 19:300060518810889. Epub 2018 Nov 19.

Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, P. R. China.

Tarsal coalition refers to an abnormal fibrous, cartilaginous, or bony connection that develops between two or more tarsal bones. Talocalcaneal coalition and calcaneonavicular coalition account for more than 90% of all cases of tarsal coalition. Coalition exists early at birth, but bony connection usually develops during the patient's late growth period. Read More

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http://dx.doi.org/10.1177/0300060518810889DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300927PMC
November 2018
6 Reads

Ankle Stabilization With Arthroscopic Versus Open With Suture Tape Augmentation Techniques.

J Foot Ankle Surg 2019 Jan 15;58(1):57-61. Epub 2018 Nov 15.

Research Coordinator, Aurora Research Institute, Aurora Health Care, Milwaukee, WI.

Ankle instability is a common problem that often leads to surgery to stabilize the ankle if conservative methods are unsuccessful in returning the patient to full activity. Surgical ankle stabilization, including arthroscopic and open methods, has been performed with overall excellent results reported. Although initial ligament strength after repair is weaker than the native ligament, new methods of augmentation with suture tape have yielded initial strength comparable to native ligament. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183032
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http://dx.doi.org/10.1053/j.jfas.2018.08.011DOI Listing
January 2019
8 Reads

Lateral Inverted Osteochondral Fracture of the Talus: Case Reports and Review of the Literature.

Acta Clin Croat 2018 Jun;57(2):377-382

Department of Orthopedic Surgery, Zagreb University Hospital Centre, Zagreb, Croatia.

Lateral inverted osteochondral fracture of the talus (LIFT) is a rare variant of stage IV osteochondral lesion of the talus (OLT), where the fragment is inverted in situ by 180°. The management of LIFT lesion is very challenging and early recognition crucial, given that treatment options depend on the articular cartilage condition and sufficiency of the adjacent bone of the displaced fragment. We describe two LIFT cases referred from other institutions after unsuccessful conservative treatment of OLT. Read More

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https://www.unboundmedicine.com/medline/research/Ankle_sprai
Web Search
https://hrcak.srce.hr/index.php?show=clanak&id_clanak_je
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http://dx.doi.org/10.20471/acc.2018.57.02.21DOI Listing
June 2018
8 Reads

Concentrated Bone Marrow Aspirate May Decrease Postoperative Cyst Occurrence Rate in Autologous Osteochondral Transplantation for Osteochondral Lesions of the Talus.

Arthroscopy 2019 Jan 10;35(1):99-105. Epub 2018 Nov 10.

Hospital for Special Surgery, New York, New York, U.S.A.. Electronic address:

Purpose: To clarify if the use of concentrated bone marrow aspirate (CBMA) would affect both postoperative functional outcomes and magnetic resonance imaging (MRI) outcomes compared with those of autologous osteochondral transplantation (AOT) alone; in addition, to assess the efficacy of CBMA reducing the presence of postoperative cyst formation following AOT in the treatment of osteochondral lesions of the talus.

Methods: Fifty-four (92%) of 59 eligible patients who underwent AOT between 2004 and 2008 were retrospectively assessed at a minimum of 5-year follow-up. Twenty-eight patients were treated with AOT and CBMA (AOT/CBMA group) and 26 patients were treated with AOT alone (AOT-alone group). Read More

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https://journals.sagepub.com/doi/abs/10.1177/2473011418S0011
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https://linkinghub.elsevier.com/retrieve/pii/S07498063183056
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http://dx.doi.org/10.1016/j.arthro.2018.06.047DOI Listing
January 2019
8 Reads

Does the pre-operative status of the anterior cruciate ligament affect the outcomes following medial open-wedge high tibial osteotomy?

Knee 2018 Dec 8;25(6):1197-1205. Epub 2018 Nov 8.

Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.

Background: This study aimed to assess the morphological degeneration of the anterior cruciate ligament (ACL) through magnetic resonance imaging (MRI) and arthroscopy. It analyzed whether the pre-operative ACL status would affect the radiologic and clinical outcomes following medial open-wedge high tibial osteotomy (MOWHTO).

Methods: A total of 150 knees were enrolled that underwent MOWHTO concomitant arthroscopic debridement for the treatment of varus osteoarthritis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09680160183027
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http://dx.doi.org/10.1016/j.knee.2018.10.010DOI Listing
December 2018
6 Reads

Low-Energy Lisfranc Injuries in an Athletic Population: A Comprehensive Review of the Literature and the Role of Minimally Invasive Techniques in Their Management.

Foot Ankle Clin 2018 Dec 24;23(4):679-692. Epub 2018 Sep 24.

Department of Orthopaedics, Division of Distal Extremities, University of British Columbia, Suite 221, 181 Keefer Street, Vancouver, BC V6B 6C1, Canada. Electronic address:

Tarsometatarsal (TMT) joint complex injuries can be caused by either direct or indirect injuries. The Lisfranc joint represents approximately 0.2% of all fractures. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.014DOI Listing
December 2018
4 Reads

Arthroscopic Treatment of Ankle Instability - Allograft/Autograft Reconstruction.

Foot Ankle Clin 2018 Dec;23(4):571-579

Clinique du Sport, 2 rue Negrevergne, Bordeuax-Mérignac 33700, France. Electronic address:

Inversion ankle sprains represent one of the most common traumatic injuries in the active sports population. Although most respond well to conservative treatment, some hide important lesions. Lateral ankle ligament injuries occur in more than 80% of all ankle sprains, with one-third of these developing chronic ankle instability (CAI). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183005
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http://dx.doi.org/10.1016/j.fcl.2018.07.004DOI Listing
December 2018
10 Reads

Arthroscopic Treatment of Ankle Instability: Brostrom.

Foot Ankle Clin 2018 Dec 25;23(4):555-570. Epub 2018 Sep 25.

Department of Orthopedics, Blue Ridge Division of Emergeortho, Foot and Ankle Center, 2585 Hendersonville Road, Arden, NC 28704, USA.

Over the last 10 years, significant advances have been made and successful techniques have now been developed that effectively treat ankle instability via the arthroscope.Currently arthroscopic lateral ligament repair techniques can be grouped into "arthroscopic-assisted techniques," "all-arthroscopic techniques," and "all-inside techniques." Recent studies have proven these arthroscopic techniques to be a simple, safe, and biomechanically equivalent, stable alternative to open Brostrom Gould lateral ligament reconstruction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183005
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http://dx.doi.org/10.1016/j.fcl.2018.07.003DOI Listing
December 2018
8 Reads
0.844 Impact Factor

Chronic Lateral Ankle Instability: Open Surgical Management.

Foot Ankle Clin 2018 Dec 27;23(4):539-554. Epub 2018 Sep 27.

Department of Orthopedics, IU Health University Hospital, 550 N. University Boulevard, Suite 6201, Indianapolis, IN, USA.

Open surgical reconstruction for chronic lateral ankle instability is a proven and effective means of providing renewed stability. Ankle arthroscopy is recommended before reconstruction to address intra-articular pathology. The open procedure discussed is well researched and proven to restore stability and the ability to return to sport and daily activity. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.07.002DOI Listing
December 2018

Increased ATFL-PTFL angle could be an indirect MRI sign in diagnosis of chronic ATFL injury.

Knee Surg Sports Traumatol Arthrosc 2018 Nov 9. Epub 2018 Nov 9.

Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Sports Medicine Center of Fudan University, No. 12 Urumq Middle Road, Shanghai, 200040, China.

Purpose: Magnetic resonance imaging (MRI) has relatively low accuracy in diagnosing chronic anterior talofibular ligament (ATFL) injury. This study's purpose was to evaluate the angle between the ATFL and posterior talofibular ligament (PTFL) as a new indirect MRI sign of chronic ATFL injury in patients with mechanical ankle instability (MAI).

Methods: This study included 200 participants: 105 patients with MAI and 95 patients seen at our institution for reasons unrelated to ankle instability. Read More

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http://link.springer.com/10.1007/s00167-018-5252-4
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http://dx.doi.org/10.1007/s00167-018-5252-4DOI Listing
November 2018
6 Reads

Extra-articular Lateral Hinge Fracture Does Not Affect the Outcomes in Medial Open-Wedge High Tibial Osteotomy Using a Locked Plate System.

Arthroscopy 2018 Dec 2;34(12):3246-3255. Epub 2018 Nov 2.

Department of Orthopedic Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea; Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.

Purpose: To compare the radiologic and clinical outcomes in patients with and without lateral hinge fractures (LHFs) during medial open-wedge high tibial osteotomy (MOWHTO) using a locked plate system, as well as to assess whether LHFs could affect the midterm outcomes.

Methods: From May 2008 to November 2015, 164 knees underwent MOWHTO using a locked plate system for the treatment of knee osteoarthritis. LHFs were recognized by radiographs during or after the high tibial osteotomy and were not additionally treated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07498063183059
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http://dx.doi.org/10.1016/j.arthro.2018.07.022DOI Listing
December 2018
7 Reads

Ankle Arthroscopic Surgery.

Sports Med Arthrosc Rev 2018 Dec;26(4):190-195

Medical College of Wisconsin, Milwaukee, WI.

Ankle arthroscopy is a diagnostic and therapeutic surgical procedure which was first attempted on cadavers by Dr Burman in 1931 and first successfully described in patients by Dr Takagi in 1939. Two general approaches to ankle arthroscopy currently exist: (1) anterior ankle arthroscopy and (2) posterior ankle arthroscopy. The indications for ankle arthroscopy have expanded as increased experience has been obtained treating various pathologic entities and as the surgical results have been reported in the literature. Read More

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http://dx.doi.org/10.1097/JSA.0000000000000222DOI Listing
December 2018
7 Reads

[Clinical analysis of ankle arthroscopy technique for treatment of tarsal tunnel syndrome].

Zhonghua Yi Xue Za Zhi 2018 Oct;98(37):2995-2998

Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou 221009, China.

To explore the effects of ankle arthroscopy technique in treating the tarsal tunnel syndrome. From May 2014 to May 2016, the ankle arthroscopy technique was used for surgical treatment of tarsal tunnel syndrome in the Department of Hand and Foot Microsurgery in Xuzhou Central Hospital. Twenty-two patients with 24 feet with tarsal tunnel syndrome were hospitalized for treatment, with 10 left feet and 14 right feet, aged 26-57 years. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.37.009DOI Listing
October 2018
5 Reads

Arthroscopic microfracture vs. arthroscopic autologous matrix-induced chondrogenesis for the treatment of articular cartilage defects of the talus.

Knee Surg Sports Traumatol Arthrosc 2018 Nov 3. Epub 2018 Nov 3.

HKF-International Center for Hip-, Knee-and Foot Surgery, ATOS Clinic Heidelberg, Bismarckstr. 9-15, 69115, Heidelberg, Germany.

Purpose: Microfracture is an established method to treat osteochondral defects of the talus. The value of the addition of an acellular matrix is still under debate. This study compared the results of arthroscopic microfracture vs. Read More

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http://link.springer.com/10.1007/s00167-018-5278-7
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http://dx.doi.org/10.1007/s00167-018-5278-7DOI Listing
November 2018
8 Reads

The arthroscopic syndesmotic assessment tool can differentiate between stable and unstable ankle syndesmoses.

Knee Surg Sports Traumatol Arthrosc 2018 Oct 26. Epub 2018 Oct 26.

Division of Foot & Ankle Surgery, Department of Orthopaedic Surgery, Massachusetts General Hospital, Newton-Wellesley Hospital, Harvard Medical School, Boston, USA.

Purpose: Patients with stable isolated injuries of the ankle syndesmosis can be treated conservatively, while unstable injuries require surgical stabilisation. Although evaluating syndesmotic injuries using ankle arthroscopy is becoming more popular, differentiating between stable and unstable syndesmoses remains a topic of on-going debate in the current literature. The purpose of this study was to quantify the degree of displacement of the ankle syndesmosis using arthroscopic measurements. Read More

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http://link.springer.com/10.1007/s00167-018-5229-3
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http://dx.doi.org/10.1007/s00167-018-5229-3DOI Listing
October 2018
6 Reads

Pseudoaneurysm following ankle arthroscopy: a systematic review of case series.

Eur J Orthop Surg Traumatol 2018 Oct 25. Epub 2018 Oct 25.

Orthopedic Department, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University School of Medicine, Achrafieh, Lebanon.

Background/objective: Pseudoaneurysms (PA) are rare complications following ankle arthroscopy (AA). Delay in diagnosis is reported to be frequent and could lead to serious complications. Evidence synthesis on the clinical context of such complication lacks in the literature. Read More

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http://link.springer.com/10.1007/s00590-018-2324-6
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http://dx.doi.org/10.1007/s00590-018-2324-6DOI Listing
October 2018
6 Reads

Initial stability and stress distribution of ankle arthroscopic arthrodesis with three kinds of 2-screw configuration fixation: a finite element analysis.

J Orthop Surg Res 2018 Oct 20;13(1):263. Epub 2018 Oct 20.

Department of Orthopaedic Surgery, Southwest Hospital, The Third Military Medical University, Gaotanyan Str. 30, Chongqing city, 400038, People's Republic of China.

Background: Arthroscopic ankle arthrodesis (AAA) is recognized as the standard treatment for the end-stage ankle arthritis. Two-screw configuration fixation is a typical technique for AAA; however, no consensus has been reached on how to select most suitable inserted position and direction. For better joint reduction, we developed a new configuration (2 home run-screw configuration: 2 screws are inserted from the lateral-posterior and medial-posterior malleolus into the talar neck) and investigated whether it turned out to be better than the other commonly used 2-screw configurations. Read More

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https://josr-online.biomedcentral.com/articles/10.1186/s1301
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http://dx.doi.org/10.1186/s13018-018-0972-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6195968PMC
October 2018
5 Reads

Surgical repair of osteochondral lesions of the talus using biologic inlay osteochondral reconstruction: Clinical outcomes after treatment using a medial malleolar osteotomy approach compared to an arthroscopically-assisted approach.

Foot Ankle Surg 2018 Mar 15. Epub 2018 Mar 15.

Cornell University, Weill Medical College, New York Presbyterian Hospital/Queens, New York, NY, USA. Electronic address:

Background: Surgical treatment of osteochondral lesions of the talus affecting the medial aspect of the talar dome is typically performed using medial malleolar osteotomy to optimize access. This study compares clinical outcomes of lesions repaired using biologic inlay osteochondral reconstruction in patients who did or did not undergo medial malleolar osteotomy, depending on defect dimensions.

Methods: Patients treated for osteochonral lesions of the talus through a medial mallolar approach or arthroscopically-assisted approach were prospectively followed. Read More

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http://dx.doi.org/10.1016/j.fas.2018.02.010DOI Listing
March 2018
1 Read

A literature review of the complications following anterior and posterior ankle arthroscopy.

Foot Ankle Surg 2018 Jul 18. Epub 2018 Jul 18.

Wirral Hospital NHS Trust, Arrowe Park Hospital, Arrowe Park Rd., Birkenhead, Wirral CH49 5PE, United Kingdom. Electronic address:

Introduction: There is a wealth of studies reporting the complications of anterior and posterior ankle arthroscopy. The aim of this study is to summarise and review the complication rate(s) associated with both anterior and posterior ankle arthroscopy, as described in the literature.

Material And Methods: The authors carried out a comprehensive review of the literature up until March 2018. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S12687731183007
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http://dx.doi.org/10.1016/j.fas.2018.06.007DOI Listing
July 2018
13 Reads

All-arthroscopic AMIC (AT-AMIC) for the treatment of talar osteochondral defects: A short follow-up case series.

Foot (Edinb) 2018 Dec 25;37:23-27. Epub 2018 Jul 25.

UNIFESP, Escola Paulista de Medicina, SP, Brazil. Electronic address:

Introduction: Various procedures have been used to treat osteochondral lesions of the talus. Among the new alternatives to treat these lesions, Autologous Matrix-Induced Chondrogenesis (AMIC) has proven to provide satisfactory results through medium-term follow-up. The aim of this study is to report early post-operative clinical results of patients submitted to the AT-AMIC technique and autologous bone graft, when necessary, for OLT's at a eight-month minimum follow-up. Read More

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http://dx.doi.org/10.1016/j.foot.2018.07.006DOI Listing
December 2018

Arthroscopically Assisted Anterior Treatment of Symptomatic Large Talar Bone Cyst.

J Foot Ankle Surg 2019 Jan 9;58(1):151-155. Epub 2018 Oct 9.

Assistant Professor, Center for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, China. Electronic address:

Symptomatic cystic lesions of the talus are rare. The traditional operations usually do not provide visualization to reveal the deep structure of the lesion and could cause cartilage damage or other severe traumatic injury. We report an operative technique to reach the cystic lesion without talar cartilage damage, remove the lesion, and fill defect with a bone graft assisted by anterior arthroscopy and evaluate its safety and reliability for future study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10672516183010
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http://dx.doi.org/10.1053/j.jfas.2018.03.028DOI Listing
January 2019
1 Read

Prevalence of Osteochondral Lesions in Rotational Type Ankle Fractures With Syndesmotic Injury.

Foot Ankle Int 2018 Oct 11:1071100718804818. Epub 2018 Oct 11.

1 Department of Orthopaedic Surgery, Flinders University, Adelaide, Australia.

Background: The aim of this study was to report the incidence of associated osteochondral lesions (OCLs) on postop CTs, which may benefit from arthroscopic treatment, in patients with rotational type ankle fractures with syndesmotic injury. The diagnosis and treatment of associated OCLs may be an additional benefit of the use of arthroscopy in the management of rotational type ankle fractures with syndesmotic injury.

Methods: We retrospectively reviewed data of a prospective cohort study of patients who underwent open reduction and surgical fixation of an ankle fracture with syndesmotic injury. Read More

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http://dx.doi.org/10.1177/1071100718804818DOI Listing
October 2018
3 Reads

Agreement between arthroscopic and imaging study findings in chronic anterior talo-fibular ligament injuries.

Orthop Traumatol Surg Res 2018 Dec 27;104(8S):S213-S218. Epub 2018 Sep 27.

15, rue Ampère, 92500 Rueil Malmaison, France.

Background: Imaging studies done to evaluate chronic ankle instability (CAI) often fail to accurately detail injuries to the anterior talo-fibular ligament (ATFL) and may, therefore, also fail to provide guidance for selecting the most appropriate surgical procedure. Arthroscopy is now an indispensable tool for accurately diagnosing ATFL injuries. This study looked at agreement between arthroscopy and imaging study assessments of ATFL injuries. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.09.008DOI Listing
December 2018
1 Read

Arthroscopic treatment of synovial chondromatosis of the ankle.

Rev Bras Ortop 2018 Sep-Oct;53(5):622-625. Epub 2018 Jul 27.

Centro Hospitalar Entre Douro e Vouga, Hospital de São Sebastião, Santa Maria da Feira, Portugal.

Synovial chondromatosis is a rare proliferative disease, characterized by the occurrence of metaplasia in the synovium of the joints. These lesions become pedunculated; with the evolution of the disease they become detached, leading to intra-articular loose-bodies. It occurs more frequently in males between the third and fifth decades of life, usually affecting large joints such as the knee and hip. Read More

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http://dx.doi.org/10.1016/j.rboe.2018.07.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6152802PMC
July 2018
1 Read

Kinesiotaping Reduces Knee Diameter but Has No Effect on Differences Pain and Edema Following Knee Artroscopy.

Acta Chir Orthop Traumatol Cech 2018 ;85(4):285-290

İstanbul Medipol University, Department of Orthopedics and Traumatology, İstanbul, Turkey.

PURPOSE OF THE STUDY Investigating the efficacy of kinesiotaping for the reduction of postoperative pain and swelling after invasive knee arthroscopy, which tend to develop in almost every patient undergoing this procedure. MATERIALS AND METHODS Kinesiotaping or sham taping was performed in a total of 42 patients who underwent invasive knee arthroscopy. Pain intensities; mid-thigh, knee, mid-calf, and ankle diameters; and VAS (Visual Analogue Scale) were recorded preoperatively and postoperatively. Read More

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January 2019
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The Role of Arthroscopic Simulation in Teaching Surgical Skills: A Systematic Review of the Literature.

JBJS Rev 2018 Sep;6(9):e8

Department of Orthopaedic Surgery, Royal Free Hospital, London, United Kingdom.

Background: Following the introduction of worktime regulations across the world along with existing concerns over the nonuniform nature of the traditional apprenticeship model, an alternative method for teaching surgical skills is being sought. Simulation training offers a safe and standardized environment to develop and improve surgical skills. The purpose of the present study was to review the existing and most recent research into the utility of arthroscopic simulators in training and the teaching of surgical skills. Read More

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http://dx.doi.org/10.2106/JBJS.RVW.17.00201DOI Listing
September 2018

Arthroscopic treatment of chronic ankle instability: Prospective study of outcomes in 286 patients.

Orthop Traumatol Surg Res 2018 Dec 21;104(8S):S199-S205. Epub 2018 Sep 21.

15, rue Ampère, 92500 Rueil Malmaison, France.

Background: Chronic ankle instability (CAI) is the main complication of ankle sprains and requires surgery if non-operative treatment fails. Surgical ankle stabilisation techniques can be roughly classified into two groups, namely, repair involving retensioning and suturing of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) and reconstruction using a tendon graft. Arthroscopic repair and reconstruction techniques for CAI have been introduced recently. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183026
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http://dx.doi.org/10.1016/j.otsr.2018.09.005DOI Listing
December 2018
24 Reads

Arthroscopic classification of chronic anterior talo-fibular ligament lesions in chronic ankle instability.

Orthop Traumatol Surg Res 2018 Dec 20;104(8S):S207-S211. Epub 2018 Sep 20.

15 rue Ampère, 92500 Rueil-Malmaison, France.

Background: The surgical treatment of chronic ankle instability (CAI) relies chiefly on anterior talo-fibular ligament (ATFL) repair (with or without augmentation) or anatomical reconstruction with a tendon graft. Arthroscopy enables not only a complete assessment and the same-stage treatment of concomitant articular lesions, but also an accurate assessment of ligament lesions. Pre-operative imaging studies (MRI, CT, US) may fail to provide sufficient detail about chronic ATFL lesions to guide the decision between repair and reconstruction. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.09.004DOI Listing
December 2018
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Arthroscopic posterior subtalar arthrodesis for salvage of posttraumatic arthritis following calcaneal fractures.

Injury 2018 Sep;49 Suppl 2:S65-S70

Department of Traumatology and Orthopedic Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain; Department of Surgery, School of Medicine, Universidad Complutense de Madrid, Madrid, Spain.

Background: Subtalar arthrodesis is a treatment option for pain due to posttraumatic arthritis following calcaneal fractures. The goal of this study is to examine the results of arthroscopic subtalar arthrodesis for posttraumatic arthritis following calcaneal fractures.

Patients And Methods: We performed a retrospective case series reviewing 37 consecutive patients (36 male) treated for posttraumatic arthritis following calcaneal fractures by arthroscopic subtalar arthrodesis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183037
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http://dx.doi.org/10.1016/j.injury.2018.07.022DOI Listing
September 2018
7 Reads

Minimally invasive surgery for hallux valgus: a systematic review of current surgical techniques.

Int Orthop 2018 Sep 14. Epub 2018 Sep 14.

Clinique Geoffroy St Hilaire, Paris, France.

Purpose: The aim of this study was to systematically evaluate the available literature on minimally invasive surgical (MIS) treatment for hallux valgus and to provide an overview of the different surgical techniques.

Methods: A systematic review of the literature available in MEDLINE, EMBASE, and the Cochrane database was performed including studies from January 2001 to 1 January 2018. The radiological outcomes (hallux valgus angle (HVA), intermetatarsal angle (IMA)), complication rates, and clinical outcome scores were evaluated. Read More

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http://dx.doi.org/10.1007/s00264-018-4138-xDOI Listing
September 2018
9 Reads

Diagnosis: History, Physical Examination, Imaging, and Arthroscopy: Proceedings of the International Consensus Meeting on Cartilage Repair of the Ankle.

Foot Ankle Int 2018 07;39(1_suppl):3S-8S

7 Fortius Clinic, London, United Kingdom.

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle are based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to report the consensus statements on "Diagnosis: History, Physical Examination, Imaging, and Arthroscopy" developed at the 2017 International Consensus Meeting on Cartilage Repair of the Ankle. Read More

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http://dx.doi.org/10.1177/1071100718779393DOI Listing

Arthroscopic Grading of Injuries of the Inferior Tibiofibular Syndesmosis.

J Foot Ankle Surg 2018 Nov - Dec;57(6):1125-1129. Epub 2018 Sep 7.

Consultant, Department of Orthopaedics, Friarage Hospital, South Tees NHS Trust, Northallerton, North Yorkshire, UK.

The objective of this study was to describe the technical details of performing a newly developed arthroscopic grading of inferior tibiofibular syndesmosis injuries. Arthroscopy is emerging as the gold standard for evaluating painful, unstable ankles. The inferior tibiofibular syndesmosis contributes substantially to disorders of the ankle. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.05.014DOI Listing
September 2018

Deterioration of patellofemoral cartilage status after medial open-wedge high tibial osteotomy.

Knee Surg Sports Traumatol Arthrosc 2018 Sep 8. Epub 2018 Sep 8.

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.

Purpose: To identify parameters associated with deterioration of patellofemoral (PF) cartilage after open-wedge high tibial osteotomy (OWHTO) and determine predictive values. It was hypothesized that cartilage injuries in PF joints would progress after OWHTO in patients who need a large alignment correction.

Methods: Fifty-two knees in 47 patients who underwent bi-planer OWHTO for the treatment of medial compartment osteoarthritis from 2012 to 2017 and received a second-look arthroscopy at the time of plate removal (mean 14 months post-OWHTO) were assessed. Read More

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http://dx.doi.org/10.1007/s00167-018-5128-7DOI Listing
September 2018
2 Reads

Outpatient paediatric arthroscopy: A retrospective study in 216 Patients.

Orthop Traumatol Surg Res 2018 Nov 8;104(7):1091-1094. Epub 2018 Oct 8.

Service de chirurgie pédiatrique, CHU Hautepierre, avenue Molière, 67098 Strasbourg, France.

Background: Outpatient surgery is now widely performed in adults but remains rarely used for paediatric orthopaedic procedures. As with adult surgery, both the arthroscopic equipment and anaesthesia techniques have improved over the last few years. Arthroscopy is particularly well advanced at the knee but can also be used at other joints (hip, ankle, elbow, shoulder). Read More

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http://dx.doi.org/10.1016/j.otsr.2018.07.016DOI Listing
November 2018

Adolescent talus body fracture with high displacement: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e12043

Rationale: Talus fracture is relatively rare in adults. Furthermore, talus fracture in pediatric population is rarer than in adult population. Although undisplaced talus fractures can be treated conservatively, most of talus fractures with displacement require surgical treatment in both pediatric and adult patients. Read More

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http://dx.doi.org/10.1097/MD.0000000000012043DOI Listing
August 2018
3 Reads

Histological and Gross Evaluation through Second-Look Arthroscopy of Osteochondral Lesions of the Talus after Failed Treatment with Particulated Juvenile Cartilage: A Case Series.

J Orthop Case Rep 2018 Mar-Apr;8(2):69-73

Department of Orthopaedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA.

Introduction: The treatment of osteochondral lesions of the talus (OLTs) recalcitrant to non-surgical interventions is challenging. Particulated juvenile cartilage allograft transplantation (PJCAT) has become a viable treatment option, obviating the need for an osteotomy or second-stage surgery and eliminating risk of donor site morbidity. Short-term outcomes have been promising, but failures associated with PJCAT have not been well described. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6114197PMC
September 2018

The anterior tibiofibular ligament has a constant distal fascicle that contacts the anterolateral part of the talus.

Knee Surg Sports Traumatol Arthrosc 2018 Aug 29. Epub 2018 Aug 29.

Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, University of Barcelona, Barcelona, Spain.

Purpose: The anterior tibiofibular ligament (ATiFL) and its distal fascicle have been the subject of numerous studies, mainly due to the involvement of this ligament in anterolateral soft-tissue impingement of the ankle. There is currently no firm evidence related to the incidence of the distal fascicle or the frequency with which it is in contact with the talus, or whether this is a constant anatomic finding. In addition, the terminology used to refer to this structure is not accurate and varies widely in previous studies. Read More

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http://dx.doi.org/10.1007/s00167-018-5123-zDOI Listing
August 2018
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Arthroscopic all-inside anterior talo-fibular ligament repair with suture augmentation gives excellent results in case of poor ligament tissue remnant quality.

Knee Surg Sports Traumatol Arthrosc 2018 Aug 20. Epub 2018 Aug 20.

Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain.

Purpose: An increasing role of arthroscopy as the definitive treatment for ankle instability has been reported, and assisted or all-arthroscopic techniques have been developed. However, treatment of chronic ankle instability with poor remnant ligament-tissue quality is still challenging. The aim of this study was to describe the technique and report the results of the arthroscopic ATFL all-inside repair with suture augmentation to treat patients with poor remnant ligament-tissue quality. Read More

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http://dx.doi.org/10.1007/s00167-018-5117-xDOI Listing
August 2018
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Subtalar Arthroscopic Fusion.

Foot Ankle Clin 2018 Sep;23(3):475-483

Foot and Ankle Unit, Hospital Militar, Universidad de Los Andes, Av. Alcalde Fernando Castillo Velasco 9100, La Reina, Santiago, Chile.

Arthroscopic subtalar fusion is an excellent approach to subtalar pathologic condition where conservative treatment has failed and a fusion has been indicated. Formal contraindications include excessive malalignment and bone loss. The posterior arthroscopic approach is analyzed in this article, including indications, surgical technique, surgical tips, and complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10837515183003
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http://dx.doi.org/10.1016/j.fcl.2018.04.007DOI Listing
September 2018
2 Reads

Medial Approach to the Subtalar Joint.

Foot Ankle Clin 2018 Sep;23(3):451-460

Trauma and Orthopaedic Department, Aintree University Hospital, Liverpool University, Liverpool, UK. Electronic address:

Surgical access to the subtalar joint is required in a plethora of pathologic conditions of the hindfoot. The conventional lateral approach can give excellent access to subtalar joint; however, in hindfoot valgus deformities, there can be unacceptable risks of wound problems and incomplete deformity corrections. The medial approach offers good access to the subtalar joint with an increasing evidence base for its use, especially with double fusions in pes planus deformities. Read More

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http://dx.doi.org/10.1016/j.fcl.2018.04.006DOI Listing
September 2018
1 Read