Anterior ankle arthroscopy. Early complications with technique joint distraction
Article Sidebar
Published:
Aug 5, 2019
Keywords:
Anterior arthroscopy, ankle, complications
Main Article Content
Abstract
Introduction: Arthroscopy has become an important tool to treat various conditions of the ankle. The use of anterior and posterior portals, with or without mechanical distraction, allows for a complete exploration of this joint. Like all surgical techniques, it is not without complications.Objectives: To evaluate the early complications of anterior ankle arthroscopy with or without joint distraction, and to compare them with those described in the international literature.Materials and Methods: A retrospective study that evaluated 198 patients undergoing anterior ankle arthroscopy for various pathologies. All were operated on by a single surgeon, in two health centers, during a period of 6 years, with a postoperative follow-up of at least 12 months. Patients were evaluated by AOFAS score and early and postoperative complications were recorded.Results: 34 women and 164 men were evaluated (average age 37.5 years). There were 23 complications (11.61%): local cellulitis (6 cases), transient paresthesia of the superficial peroneal nerve (4 cases), permanent paresthesia of the superficial peroneal nerve (1 case), residual pain in the portals (4 cases), septic arthritis (2 cases) and one case of other complications.Conclusions: Most complications can be avoided by a precise knowledge of the anatomy and the aseptic techniques, as well as an adequate surgical approach and intra-operative management of the instrumentation. Anterior ankle arthroscopy without joint distraction through standard antero-lateral and antero-medial portals is a safe technique, having a low rate of complications and a very low morbidity for the patient.
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Article Details
How to Cite
Yañez Arauz, J. M., Rosales Anderica, F. E., Lauritto, D., Balmaceda, M. M., Amaya, M., & Yañez Arauz, S. (2019). Anterior ankle arthroscopy. Early complications with technique joint distraction. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 84(3), 236-241. https://doi.org/10.15417/issn.1852-7434.2019.84.3.885
Issue
Section
Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
References
1. Burman MS. Arthroscopy or the direct visualization of joints: an experimental cadaver study. 1931. Clin Orthop Relat Res 2001;(390):5-9. https://doi.org/10.1097/00003086-200109000-00003
2. Takagi K. The arthroscope. J Jpn Orthop Assoc 1939;14:359.
3. Watanabe M. Selfoc-Arthroscope (Watanabe no. 24 arthroscope). Monograph. Tokyo: Teishin Hospital; 1972: 46-53.
4. van Dijk CN, Scholte D. Arthroscopy of the ankle joint. Arthroscopy 1997;13(1):90-6. PMID: 9043610
5. Zengerink M, van Dijk CN. Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc 2012;20(8): 1420-31. https://doi.org/10.1007/s00167-012-2063-x
6. Sprague NF III, Guhl JF, Olson DW. Specific complications: elbow, wrist, hip, and ankle. En: Spraque NF III (ed). Complications in arthroscopy. New York: Raven Press; 1989:199-224.
7. Amendola A, Petrik J, Webster-Bogaert S. Ankle arthroscopy: outcome in 79 consecutive patients. Arthroscopy 1996;12(5):565-73. PMID: 8902131
8. Barber FA, Click J, Britt BT. Complications of ankle arthroscopy. Foot Ankle 1990;10(5):263-6. PMID: 2187776
9. Ucerler H, Ikiz AA, Uygur M. A cadaver study on preserving peroneal nerves during ankle arthroscopy. Foot Ankle Int 2007;28(11):1172-8. https://doi.org/10.3113/FAI.2007.1172
10. Solomon LB, Ferris L, Henneberg M. Anatomical study of the ankle with view to the anterior arthroscopic portals. ANZ J Surg 2006;76:932-6. https://doi.org/10.1111/j.1445-2197.2006.03909.x
11. Suzangar M, Rosenfeld P. Ankle arthroscopy: is preoperative marking of the superficial peroneal nerve important? J Foot Ankle Surg 2012;51(2):179-81. https://doi.org/10.1053/j.jfas.2011.11.003
12. Deng DF, Hamilton GA, Lee M, Rush S, Ford LA, Patel S. Complications associated with foot and ankle arthroscopy. J Foot Ankle Surg 2011;51(3):281-4. https://doi.org/10.1053/j.jfas.2011.11.011
13. Ferkel RD, Heath DD, Guhl JF. Neurological complications of ankle arthroscopy. Arthroscopy 1996;12(2):200-8. PMID: 8776998
14. Jacobs E, Groot D, Das M, Hermus JP. Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy. J Foot Ankle Surg 2011;50(3):361-3. https://doi.org/10.1053/j.jfas.2011.01.004
15. Kashir A, Kiely P, Dar W, D’Souza L. Pseudoaneurysm of the dorsalis pedis artery after ankle arthroscopy. Foot Ankle Surg 2010;16(3):151-2. https://doi.org/10.1016/j.fas.2009.01.002
16. Guhl JF. Foot and ankle arthroscopy, 2nd ed. Thorofare, NJ: Charles B. Slack; 1993:215.
17. Son KH, Cho JH, Lee JW, Kwack KS, Han SH. Is the anterior tibial artery safe during ankle arthroscopy?: anatomic analysis of the anterior tibial artery at the ankle joint by magnetic resonance imaging. Am J Sports Med 2011;39(11):2452-6. https://doi.org/10.1177/0363546511416317
18. Golano P, Clavero JA, van Dijk CN. Anterior ankle arthroscopy, distraction or dorsiflexion? Knee Surg Sports Traumatol Arthrosc 2010;18(5):594-600. https://doi.org/10.1007/s00167-010-1089-1
19. Vazquez T, Rodríguez-Niedenfuhr M, Parkin I, Viejo F, Sanudo J. Anatomic study of blood supply of the dorsum of the foot and ankle. Arthroscopy 2006;22(3):287-90. https://doi.org/10.1016/j.arthro.2005.10.021
20. Ferkel RD, Small HN, Gittins JE. Complications in foot and ankle arthroscopy. Clin Orthop Relat Res 2001;(391):89-104. https://doi.org/10.1097/00003086-200110000-00010
21. Casteleyn PP, Handelberg F. Distraction for ankle arthroscopy. Arthroscopy 1995;11:633-4. https://doi.org/10.1016/0749 8063(95)90146-9
22. Schade VL, Roukis TS. Antithrombotic pharmacologic prophylaxis use during conservative and surgical management of foot and ankle disorders: a systematic review. Clin Podiatr Med Surg 2011;28(3):571-88. https://doi.org/10.1016/j.cpm.2011.04.004
23. Rasmussen S, Hjorth Jensen C. Arthroscopic treatment of impingement of the ankle reduces pain and enhances function. Scand J Med Sci Sports 2002;12(2):69-72. PMID: 12121423
24. Navadgi BC, Shah N, Jeer PJ. Rupture of the extensor hallucis longus tendon after ankle arthroscopy - an unusual complication. Foot Ankle Surg 2007;13:45-7. https://doi.org/10.1016/j.fas.2006.06.006
25. Tuncer S, Aksu N, Isiklar U. Delayed rupture of the extensor hallucis longus and extensor digitorum communis tendons after breaching the anterior capsule with a radiofrequency probe during ankle arthroscopy: a case report. J Foot Ankle Surg 2010;49(5):490.e1–3. https://doi.org/10.1053/j.jfas.2010.05.003
26. Carlson MJ, Ferkel RD. Complications in ankle and foot arthroscopy. Sports Med Arthrosc Rev 2013;21(2):135-9. https://doi.org/10.1097/JSA.0b013e31828e5c6c
2. Takagi K. The arthroscope. J Jpn Orthop Assoc 1939;14:359.
3. Watanabe M. Selfoc-Arthroscope (Watanabe no. 24 arthroscope). Monograph. Tokyo: Teishin Hospital; 1972: 46-53.
4. van Dijk CN, Scholte D. Arthroscopy of the ankle joint. Arthroscopy 1997;13(1):90-6. PMID: 9043610
5. Zengerink M, van Dijk CN. Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc 2012;20(8): 1420-31. https://doi.org/10.1007/s00167-012-2063-x
6. Sprague NF III, Guhl JF, Olson DW. Specific complications: elbow, wrist, hip, and ankle. En: Spraque NF III (ed). Complications in arthroscopy. New York: Raven Press; 1989:199-224.
7. Amendola A, Petrik J, Webster-Bogaert S. Ankle arthroscopy: outcome in 79 consecutive patients. Arthroscopy 1996;12(5):565-73. PMID: 8902131
8. Barber FA, Click J, Britt BT. Complications of ankle arthroscopy. Foot Ankle 1990;10(5):263-6. PMID: 2187776
9. Ucerler H, Ikiz AA, Uygur M. A cadaver study on preserving peroneal nerves during ankle arthroscopy. Foot Ankle Int 2007;28(11):1172-8. https://doi.org/10.3113/FAI.2007.1172
10. Solomon LB, Ferris L, Henneberg M. Anatomical study of the ankle with view to the anterior arthroscopic portals. ANZ J Surg 2006;76:932-6. https://doi.org/10.1111/j.1445-2197.2006.03909.x
11. Suzangar M, Rosenfeld P. Ankle arthroscopy: is preoperative marking of the superficial peroneal nerve important? J Foot Ankle Surg 2012;51(2):179-81. https://doi.org/10.1053/j.jfas.2011.11.003
12. Deng DF, Hamilton GA, Lee M, Rush S, Ford LA, Patel S. Complications associated with foot and ankle arthroscopy. J Foot Ankle Surg 2011;51(3):281-4. https://doi.org/10.1053/j.jfas.2011.11.011
13. Ferkel RD, Heath DD, Guhl JF. Neurological complications of ankle arthroscopy. Arthroscopy 1996;12(2):200-8. PMID: 8776998
14. Jacobs E, Groot D, Das M, Hermus JP. Pseudoaneurysm of the anterior tibial artery after ankle arthroscopy. J Foot Ankle Surg 2011;50(3):361-3. https://doi.org/10.1053/j.jfas.2011.01.004
15. Kashir A, Kiely P, Dar W, D’Souza L. Pseudoaneurysm of the dorsalis pedis artery after ankle arthroscopy. Foot Ankle Surg 2010;16(3):151-2. https://doi.org/10.1016/j.fas.2009.01.002
16. Guhl JF. Foot and ankle arthroscopy, 2nd ed. Thorofare, NJ: Charles B. Slack; 1993:215.
17. Son KH, Cho JH, Lee JW, Kwack KS, Han SH. Is the anterior tibial artery safe during ankle arthroscopy?: anatomic analysis of the anterior tibial artery at the ankle joint by magnetic resonance imaging. Am J Sports Med 2011;39(11):2452-6. https://doi.org/10.1177/0363546511416317
18. Golano P, Clavero JA, van Dijk CN. Anterior ankle arthroscopy, distraction or dorsiflexion? Knee Surg Sports Traumatol Arthrosc 2010;18(5):594-600. https://doi.org/10.1007/s00167-010-1089-1
19. Vazquez T, Rodríguez-Niedenfuhr M, Parkin I, Viejo F, Sanudo J. Anatomic study of blood supply of the dorsum of the foot and ankle. Arthroscopy 2006;22(3):287-90. https://doi.org/10.1016/j.arthro.2005.10.021
20. Ferkel RD, Small HN, Gittins JE. Complications in foot and ankle arthroscopy. Clin Orthop Relat Res 2001;(391):89-104. https://doi.org/10.1097/00003086-200110000-00010
21. Casteleyn PP, Handelberg F. Distraction for ankle arthroscopy. Arthroscopy 1995;11:633-4. https://doi.org/10.1016/0749 8063(95)90146-9
22. Schade VL, Roukis TS. Antithrombotic pharmacologic prophylaxis use during conservative and surgical management of foot and ankle disorders: a systematic review. Clin Podiatr Med Surg 2011;28(3):571-88. https://doi.org/10.1016/j.cpm.2011.04.004
23. Rasmussen S, Hjorth Jensen C. Arthroscopic treatment of impingement of the ankle reduces pain and enhances function. Scand J Med Sci Sports 2002;12(2):69-72. PMID: 12121423
24. Navadgi BC, Shah N, Jeer PJ. Rupture of the extensor hallucis longus tendon after ankle arthroscopy - an unusual complication. Foot Ankle Surg 2007;13:45-7. https://doi.org/10.1016/j.fas.2006.06.006
25. Tuncer S, Aksu N, Isiklar U. Delayed rupture of the extensor hallucis longus and extensor digitorum communis tendons after breaching the anterior capsule with a radiofrequency probe during ankle arthroscopy: a case report. J Foot Ankle Surg 2010;49(5):490.e1–3. https://doi.org/10.1053/j.jfas.2010.05.003
26. Carlson MJ, Ferkel RD. Complications in ankle and foot arthroscopy. Sports Med Arthrosc Rev 2013;21(2):135-9. https://doi.org/10.1097/JSA.0b013e31828e5c6c