Tag Archive for: indications

Indications for High Tibial Osteotomy

Volume 6 | Issue 2 | July-December 2021 | Page 3-7 | Clement Joseph, Yugal Varandani

DOI: 10.13107/aja.2021.v06i02.027

Author: Clement Joseph [1], Yugal Varandani [1]

[1] Department of Arthroscopy & Sports Medicine, Asian Joint Reconstruction Institute, SIMS, Chennai, Tamil Nadu, India.

Address of Correspondence:
Dr. Clement Joseph,
Senior Consultant & Head, Arthroscopy & Sports Medicine, Asian Joint Reconstruction Institute, SIMS, Chennai, Tamil Nadu, India.
E-mail: clementorth@yahoo.co.in

Abstract

There is a resurgence of interest in HTO to treat young to middle aged patients with varus alignment and isolated medial joint osteoarthritis. With improvements in implant design and preoperative planning methods, good outcomes are reported in multiple studies. But the most important factor for a successful outcome is patient selection. The ideal patient would be a middle-aged patient with isolated medial joint arthritis with good range of movements, non-smoker and with reasonable functional status of knee. The indications of HTO are evolving to include patients in higher age groups, with minimal to moderate patellofemoral symptoms and varying amounts of flexion deformities. It is also increasingly being performed as a joint protective surgery following meniscus repairs and cartilage repair procedures and to correct abnormal joint alignment following neglected ligamentous injuries.

References

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21. Noyes FR, Barber-Westin SD, Hewett TE. High tibial osteotomy and ligament reconstruction for varus angulated anterior cruciate ligament-deficient knees. Am J Sports Med. 2000;28(3):282-296. doi:10.1177/03635465000280030201 https://doi.org/10.1177/03635465000280030201
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23. Dettoni F, Bonasia DE, Castoldi F, Bruzzone M, Blonna D, Rossi R. High tibial osteotomy versus unicompartmental knee arthroplasty for medial compartment arthrosis of the knee: a review of the literature. Iowa Orthop J. 2010;30:131-140. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc2958284/
24. Kanamiya T, Naito M, Hara M, Yoshimura I. The influences of biomechanical factors on cartilage regeneration after high tibial osteotomy for knees with medial compartment osteoarthritis: clinical and arthroscopic observations. Arthroscopy. 2002;18(7):725-729. doi:10.1053/jars.2002.35258 https://doi.org/10.1053/jars.2002.35258
25. Thambiah MD, Tan MKL, Hui JHP. Role of High Tibial Osteotomy in Cartilage Regeneration – Is Correction of Malalignment Mandatory for Success?. Indian J Orthop. 2017;51(5):588-599. doi:10.4103/ortho.IJOrtho_260_17 https://doi.org/10.4103/ortho.ijortho_260_17
26. Nha KW, Lee YS, Hwang DH, et al. Second-look arthroscopic findings after open-wedge high tibia osteotomy focusing on the posterior root tears of the medial meniscus [published correction appears in Arthroscopy. 2019 Feb;35(2):691] [published correction appears in Arthroscopy. 2020 Mar;36(3):923]. Arthroscopy. 2013;29(2):226-231. doi:10.1016/j.arthro.2012.08.027 https://doi.org/10.1016/j.arthro.2012.08.027
27. Lee DW, Lee SH, Kim JG. Outcomes of Medial Meniscal Posterior Root Repair During Proximal Tibial Osteotomy: Is Root Repair Beneficial?. Arthroscopy. 2020;36(9):2466-2475. doi:10.1016/j.arthro.2020.04.038 https://doi.org/10.1016/j.arthro.2020.04.038

How to Cite this article: Joseph C, Varandani Y | Indications for High Tibial Osteotomy | Asian Journal of Arthroscopy | July-December 2021; 6(2): 03-07

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Modern Concept in Posterior Ankle Arthroscopy

Joseph Tracey, Selene G. Parekh

Volume 3 | Issue 2 | May – Aug 2018 | Page 9-12

Author: Joseph Tracey, Selene G. Parekh [2].

[1]  Medical University of South Carolina 96 Johnathan Lucas St., Charleston, SC, 29425
[2] Duke University Medical Center, Orthopaedic Surgery North Carolina Orthopaedic Clinic 3609 Southwest Durham Drive Durham, NC, USA 27707

Address of Correspondence
Dr. Selene G. Parekh,
Medical University of South Carolina 96 Johnathan Lucas St., Charleston, SC, 29425 tracey312@live.com
Email: selene.parekh@gmail.com

Abstract

Ankle arthroscopy has evolved rapidly within the last twenty-five years and is now the principal method of treatment of ankle disorders. It would be prudent for an aspiring orthopaedic surgeon to include this technique in his or her armamentarium of surgical techniques. This will provide the surgeon an inclusive option to obtain accurate diagnosis and to discuss management options with the patient. The minimally invasive technique is biologically friendly by preserving the soft tissue envelope. This will also meet patient expectations to achieve an earlier and predictable functional recovery from ankle pathology. This review article will briefly mention historical aspects and outline the basic technique and relevant benefits of ankle arthroscopy. Indications and contra-indications of ankle arthroscopy will be discussed with pertinent review of literature. Complications and outcomes of the procedure will also be highlighted.
Keywords: Ankle arthroscopy, technique, indications

References

1. van Dijk CN, Scholten PE, Krips R. A 2-portal endoscopic approach for diagnosis and treatment of posterior ankle pathology. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2000 Nov 1;16(8):871-6.
2. Abramowitz Y, Wollstein R, Barzilay Y, London E, Matan Y, Shabat S, Nyska M. Outcome of resection of a symptomatic os trigonum. JBJS. 2003 Jun 1;85(6):1051-7.
3. Marotta JJ, Micheli LJ. Os trigonum impingement in dancers. The American journal of sports medicine. 1992 Sep;20(5):533-6.
4. Willits K, Sonneveld H, Amendola A, Giffin JR, Griffin S, Fowler PJ. Outcome of posterior ankle arthroscopy for hindfoot impingement. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2008 Feb 1;24(2):196-202.
5. Nickisch F, Barg A, Saltzman CL, Beals TC, Bonasia DE, Phisitkul P, Femino JE, Amendola A. Postoperative complications of posterior ankle and hindfoot arthroscopy. JBJS. 2012 Mar 7;94(5):439-46.
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7. Sitler DF, Amendola A, Bailey CS, Thain LM, Spouge A. Posterior ankle arthroscopy: an anatomic study. JBJS. 2002 May 1;84(5):763-9.
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12. Tonogai I, Hayashi F, Tsuruo Y, Sairyo K. Anatomic Study of Anterior and Posterior Ankle Portal Sites for Ankle Arthroscopy in Plantarflexion and Dorsiflexion: A Cadaveric Study in the Japanese Population. The Journal of Foot and Ankle Surgery. 2018 May 1;57(3):537-42.
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14. Van Dijk CN, Vuurberg G, Batista J, d’Hooghe P. Posterior ankle arthroscopy: current state of the art. Journal of ISAKOS: Joint Disorders &Orthopaedic Sports Medicine. 2017 Aug 7:jisakos-2016.
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16. van Dijk CN. Hindfoot endoscopy. Foot Ankle Clin2006;11:391–414.
17. Ogut T, Ayhan E, Irgit K, et al. Endoscopic treatment of posterior ankle pain. Knee Surg Sports TraumatolArthrosc2011;19:1355–61.
18. van Dijk CN. Hindfoot endoscopy for posterior ankle pain. Instr Course Lect2006;55:545–54.
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20. Golanò P, Mariani PP, Rodríguez-Niedenfuhr M, Mariani PF, Ruano-Gil D. Arthroscopic anatomy of the posterior ankle ligaments.Arthroscopy. 2002;18:353-8.
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How to Cite this article: Tracey J, Parekh S G. Modern Concept in Posterior Ankle Arthroscopy. Asian Journal of Arthroscopy May-Aug 2018;3(2): 9-12.

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Ankle Arthroscopy

Rachala Madhu, Kartik Hariharan

Volume 3 | Issue 2 | May – Aug 2018 | Page 3-8

Author: Rachala Madhu, Kartik Hariharan [1].

[1] Department of Orthopaedic and Foot and Ankle Surgeon Royal Gwent Hospital

Address of Correspondence
Dr. Kartik Hariharan,
Consultant Orthopaedic and Foot and Ankle Surgeon Royal Gwent Hospital Cardiff Rd Newport NP20 2UB United Kingdom
Email: h.kartik@gmail.com

Abstract

Ankle arthroscopy has evolved rapidly within the last twenty-five years and is now the principal method of treatment of ankle disorders. It would be prudent for an aspiring orthopaedic surgeon to include this technique in his or her armamentarium of surgical techniques. This will provide the surgeon an inclusive option to obtain accurate diagnosis and to discuss management options with the patient. The minimally invasive technique is biologically friendly by preserving the soft tissue envelope. This will also meet patient expectations to achieve an earlier and predictable functional recovery from ankle pathology. This review article will briefly mention historical aspects and outline the basic technique and relevant benefits of ankle arthroscopy. Indications and contra-indications of ankle arthroscopy will be discussed with pertinent review of literature. Complications and outcomes of the procedure will also be highlighted.
Keywords: Ankle arthroscopy, technique, indications

References

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25. Mankovecky MR, Roukis TS. Arthroscopic synovectomy, irrigation, and debridement for treatment of septic ankle arthrosis: a systematic review and case series. J Foot Ankle Surg. 2014 Sep-Oct; 53(5):615-9.
26. Zengerink M, van Dijk CN. Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2012 Aug; 20(8):1420-31. Epub 2012 Jun 5.
27. Deng DF, Hamilton GA, Lee M, Rush S, Ford LA, Patel S. Complications associated with foot and ankle arthroscopy. J Foot Ankle Surg. 2012 May-Jun; 51 (3):281-4. Epub 2011 Dec 20.
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29. Nickisch F, Barg A, Saltzman CL, Beals TC, Bonasia DE, Phisitkul P, Femino JE, Amendola A. Postoperative complications of posterior ankle and hindfoot arthroscopy. J Bone Joint Surg Am. 2012 Mar 7; 94(5):439-46.
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31. Koehler RJ, Amsdell S, Arendt EA, Bisson LJ, Braman JP, Butler A, Cosgarea AJ, Harner CD, Garrett WE, Olson T, Warme WJ, Nicandri GT. The Arthroscopic Surgical Skill Evaluation Tool (ASSET). Am J Sports Med. 2013 Jun; 41(6):1229-37. Epub 2013 Apr 2
32. Martin KD, Patterson D, Phisitkul P, Cameron KL, Femino J, Amendola A. Ankle Arthroscopy Simulation Improves Basic Skills, Anatomic Recognition, and Proficiency During Diagnostic Examination of Residents in Training. Foot Ankle Int. 2015 Jul; 36(7):827-35.

How to Cite this article:. Rachala M, Hariharan K. Ankle Arthroscopy. Asian Journal Arthroscopy. May-Aug 2018;3(2):3-8 .

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Wrist Arthroscopy– Setup, Indications and Complications

Satish Mane, Marwan Hardan, Anup Bansode, Abhijeet L Wahegaonkar

Volume 2 | Issue 2 | Sep-Dec 2017 |

Author: Satish Mane [1], Marwan Hardan [1], Anup Bansode [2],
Abhijeet L Wahegaonkar [1]

[1] Department of Upper Extremity, Hand and Microvascular Reconstructive
Surgery, Sancheti Institute for Orthopedics and Rehabilitation, Pune,
Maharashtra, India,
[2] Department of Hand Surgery, Jehangir Hospital, Pune, Maharashtra, India.

Address of Correspondence
Dr. Satish Mane,
Department of Upper Extremity, Hand and Microvascular Reconstructive Surgery,
Sancheti Institute for Orthopedics and Rehabilitation, Pune, Maharashtra, India.
E-mail: drsatishmane@gmail.com

Abstract

Wrist Arthroscopy, a minimally invasive, outpatient procedure, is a valuable tool in the diagnosis and treatment of most disorders of the wrist. In this article Arthroscopy set up, equipments are described, and operative indications and complications are discussed. Anatomy of Portal is described in details. Portals allow direct visualization of articular surfaces of radio-carpal and mid-carpal joints, triangular fibrocartilage, interosseous and extrinsic ligaments. It offers direct visualization of the structures of the joint anatomy and existing disease processes while causing minimal damage to surrounding soft tissue.
Keywords: Wrist arthroscopy, indications, portals, complications.

How to Cite this article: Mane S, Hardan M, Bansode A, Wahegaonkar AL. Wrist Arthroscopy – Setup, Indications, and Complications. Asian Journal Arthroscopy Sep-Dec 2017; 2(2): 11-14.

 

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