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Knee Surg Sports Traumatol Arthrosc 2019 Mar 19. Epub 2019 Mar 19.

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

Purpose: Tendon grafts are often utilized for reconstruction of the lateral ligaments unamenable to primary repair. However, tendon and ligaments have different biological roles. The anterior tibiofibular ligament's (ATiFL) distal fascicle may be resected without compromising the stability of the ankle joint. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Mar 18. Epub 2019 Mar 18.

Department of Orthopedic Surgery, Ajou University Hospital, Ajou University School of Medicine, 164, World Cup Road, Yeongtong-gu, Suwon, Gyeonggi-do, 16499, Republic of Korea.

Purpose: The modified Broström operation for chronic ankle instability has demonstrated good clinical results. Absence of ligamentous tissue is a risk factor for recurrence of ankle instability after surgery. This study evaluated the effect of quality of ligament tissue (anterior talofibular ligament, ATFL) on prognosis, in a cohort of patients with chronic ankle instability after the modified Broström operation. Read More

JBJS Essent Surg Tech 2014 Jun 22;3(2):e10. Epub 2013 May 22.

Department of Orthopaedic Surgery, Orthopaedic Research Center Amsterdam, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. E-mail address for C.J.A. van Bergen: E-mail address for R. Zwiers: E-mail address for C.N. van Dijk:

Introduction: Arthroscopic debridement and bone marrow stimulation (i.e., drilling or microfracturing) is considered the primary surgical treatment of osteochondral defects of the talus. Read More

Foot Ankle Int 2019 Mar 17:1071100719837524. Epub 2019 Mar 17.

1 Department of Orthopedics, University of Colorado, Aurora, CO, USA.

Background:: Open metatarsophalangeal (MTP) arthrodesis using locked plates produces good clinical outcomes. However, arthroscopic fusion with new-generation fully threaded compression screws is emerging as an alternative. The purpose of this study was to compare low-profile contoured locked plates with fully threaded compression screws for first MTP fusion, in a biomechanical cadaveric model. Read More

Zhonghua Wai Ke Za Zhi 2019 Mar;57(3):182-186

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

To analyze the clinical effects of all-inside arthroscopic treatment for the patients of avulsion fracture of tibial origin withⅠdegree supination and external rotation injury according to the Lauge-Hansen classification. A retrospective analysis of 34 patients (34 feet) who had underwent all-inside arthroscopic for avulsion fracture of tibial origin with Ⅰ degree supination and external rotation injury from September 2015 to September 2017 in Department of Hand and Foot Microsurgery, Xuzhou Central Hospital. There were 20 males and 14 females, aged (24. Read More

J Foot Ankle Surg 2019 Mar;58(2):312-319

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

Although the open modified Broström technique remains widely accepted as the gold standard for operative treatment of ankle instability, use of the arthroscopic repair technique has been rapidly increasing. Our aim is to conduct a comparative systematic review and meta-analysis of the data to determine whether there is a significant difference in clinical outcomes between arthroscopic and open repair for lateral ankle instability. A systematic literature review was performed using PubMed, Web of Science, the Cochrane Library, and EMBASE from 1980 to March 2018 to identify all English-language studies (level of evidence 1 to 3) comparing functional outcomes of arthroscopic versus open repair of lateral ankle instability. Read More

Biomed Res Int 2019 29;2019:2128960. Epub 2019 Jan 29.

Sports Medicine Center of Fudan University, Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, 200040, Shanghai, China.

Both percutaneous and arthroscopic techniques have been introduced in anatomic ankle lateral ligaments reconstruction. The purpose of this study was to compare these two techniques in identifying the calcaneal insertion of the calcaneofibular ligament (CFL). Fifteen fresh-frozen human ankle cadaver specimens were used in this study. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Mar 4. Epub 2019 Mar 4.

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

Purpose: Neurovascular structures around the ankle are at risk of injury during arthroscopic all-inside lateral collateral ligament repair for the treatment of chronic ankle instability. This study aimed to evaluate the risk of damage to anatomical structures and reproducibility of the technique amongst surgeons with different levels of expertise in the arthroscopic all-inside ligament repair.

Methods: Twelve fresh-frozen ankle specimens were used for the study. Read More

Arthroscopy 2019 Mar;35(3):950-952

Weill Cornell Medical College.

Growth disturbance from a physeal injury is considered by many surgeons to be the most feared iatrogenic surgical complication after anterior cruciate ligament (ACL) reconstruction in skeletally immature patients, typically resulting in valgus, recurvatum, and/or a short limb. These deformities also predispose children to an ACL injury in the first instance, and therefore, a firm understanding of the contributions of both preoperative deformity and iatrogenic injury to postoperative limb asymmetry is critical. Preoperative and postoperative imaging (until 2 years postoperatively or skeletal maturity) should include standing hip-to-ankle alignment radiographs when the patient is able to straighten the knee and fully bear weight, as well as a lateral projection of the knee to quantify tibial slope. Read More

Zhongguo Gu Shang 2019 Jan;32(1):43-47

Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China.

Objective: To evaluate clinical effect of autogenous iliac bone graft in treating osteochondral lesion of the talus with subchondral cyst.

Methods: Twenty-two osteochondral lesion of talus patients with subchondral cyst were collected from January 2011 to December 2014, including 18 males and 4 females aged from 34 to 58 years old with an average of (46.4± 6. Read More

Orthop J Sports Med 2019 Feb 12;7(2):2325967118825261. Epub 2019 Feb 12.

NYU Langone Health, New York, New York, USA.

Background: Lesion size is a major determinant of treatment strategy for osteochondral lesions of the talus (OLTs). Although magnetic resonance imaging (MRI) is commonly used in the preoperative evaluation of OLTs, the reliability of the MRI measurement compared with the arthroscopic measurement is unknown.

Purpose: To compare preoperative lesion size measured on MRI versus intraoperative lesion size measured during arthroscopy. Read More

J Orthop Sci 2019 Feb 21. Epub 2019 Feb 21.

Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Japan.

Background: In chronic lateral ankle instability (CLAI), the instability of the ankle joint results in repeated microtrauma to the articular cartilage. How the lesion condition or stage is affected by the presence of lateral instability in medial osteochondral lesions of the talus (OLT) is unclear. We aimed to examine whether CLAI is associated with the size and staging of medial OLT on radiographs, magnetic resonance (MR) images, and arthroscopy. Read More

Clin Podiatr Med Surg 2019 Apr 24;36(2):279-293. Epub 2019 Jan 24.

Guangdong Provincial Engineering Research Center of Wound Repair and Regenerative Medicine, Affiliated Baoan Hospital of Shenzhen, Southern Medical University, The 8th People's Hospital of Shenzhen, Shenzhen, Guangdong 518101, China; Guangdong Provincial Academician Workstation of Wound Repair and Regenerative Medicine, Affiliated Baoan Hospital of Shenzhen, Southern Medical University, The 8th People's Hospital of Shenzhen, Shenzhen, Guangdong 518101, China; Department of Trauma and Orthopedics, Affiliated Baoan Hospital of Shenzhen, Southern Medical University, The 8th People's Hospital of Shenzhen, Shenzhen, Guangdong 518101, China.

The list of late complications after calcaneal fracture that can be treated through arthroscopic and/or endoscopic approach continues to expand. The late complications of calcaneal fractures can be classified into 3 groups: (1) those causing focal hindfoot or ankle pain, (2) those causing functional deficit, and (3) those present with diffuse and poorly localized pain. Many group 1 and some group 2 complications can be managed arthroscopically and/or endoscopically. Read More

JBJS Essent Surg Tech 2018 Dec 12;8(4):e31. Epub 2018 Dec 12.

Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.

An os trigonum is a potential source of posterior ankle pain in dancers, often associated with flexor hallucis longus (FHL) pathology. Surgical excision is indicated on failure of nonoperative management. Options for surgical excision include open excision (via a posterolateral or posteromedial approach), subtalar arthroscopy, and posterior endoscopy. Read More

Knee Surg Sports Traumatol Arthrosc 2019 Feb 7. Epub 2019 Feb 7.

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

Purpose: To assess the effectiveness of cadaveric ankle arthroscopy courses in reducing iatrogenic injuries.

Methods: A total of 60 novice surgeons enrolled in a basic cadaveric ankle arthroscopy course were divided into two groups. Group A (n = 32) was lectured on portal placement and use of the arthroscope, whereas group B (n = 28) was in addition lectured on specific portal-related complications. Read More

Arthroscopy 2019 Feb;35(2):297-299

In 2018, Letters to the Editor of Arthroscopy were heated and helped point out the broiling topics in our field including ankle arthroscopy distraction technique versus no-distraction and dorsiflexion, knee anterolateral ligament reconstruction versus lateral extraarticular tenodesis, hip labral primary repair versus primary reconstruction, and shoulder stabilization technique cost-effectiveness. Read More

Medicine (Baltimore) 2019 Feb;98(5):e14299

Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.

To evaluate retrospectively any association between the degree of deformity correction by medial open-wedge high tibial osteotomy (HTO) and patellofemoral joint degeneration. We hypothesized that development of patellofemoral joint degeneration depended on the degree of intraoperative deformity correction.Fifty-seven patients who underwent medial open-wedge HTO for treatment of osteoarthritis in one knee were included in this study. Read More

J Orthop Surg Res 2019 Jan 22;14(1):25. Epub 2019 Jan 22.

Centre for Joint Surgery, Southwest Hospital, Third Military Medical University (Army Medical University), Chongqing, 400083, China.

Background: Due to atypical clinical presentation, wide use of antibiotics, and lack of specificity in diagnosis, diagnosis of tubercular (TB) infection in joints is increasingly difficult, and misdiagnosis is common. The use of arthroscopy for the diagnosis and treatment of early-stage ankle TB has rarely been reported. This case series intended to present the clinical outcomes of arthroscopic management for early-stage ankle TB. Read More

Unfallchirurg 2019 Feb;122(2):147-159

Mein Fusszentrum, Eichenstr. 31, 4054, Basel, Schweiz.

The deltoid or medial collateral ligament consisting of superficial and deep components together with the spring ligament is the primary stabilizer of the ankle joint. Injuries of these anatomical structures are more frequent than assumed but are nevertheless often overlooked. Inadequate treatment can lead to chronic pain, instability, hindfoot deformities and ankle arthritis. Read More

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

Arthroscopy 2019 Mar 3;35(3):953-960. Epub 2019 Jan 3.

Soonchunhyang University Hospital, 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

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

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

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

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

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

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

J Orthop Sports Phys Ther 2019 Mar 30;49(3):154-170. Epub 2018 Nov 30.

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

Objective: To evaluate the evidence regarding the comparative effects of needling on muscle force production.

Methods: In this systematic review, an electronic search was performed using key words related to needling. Read More

Eur J Orthop Surg Traumatol 2019 Apr 28;29(3):683-687. 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

J Int Med Res 2018 Dec 19;46(12):5322-5330. 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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Eur J Orthop Surg Traumatol 2019 Apr 25;29(3):689-696. 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

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

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

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

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

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