Tag Archive for: indications

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

1. Jackson JP, Waugh W. Tibial osteotomy for osteoarthritis of the knee. J Bone Joint Surg Br. 1961 Nov;43-B:746-51. doi: 10.1302/0301-620X.43B4.746. https://doi.org/10.1302/0301-620x.43b4.746
2. Coventry, M B. “Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. A preliminary report” J Bone Joint Surg Am. 1965; 47:984-990. PMID: 14318636
3. Hernigou P, Medevielle D, Debeyre J, Goutallier D. Proximal tibial osteotomy for osteoarthritis with varus deformity. A ten to thirteen-year follow-up study. J Bone Joint Surg Am. 1987;69(3):332-354. PMID: 3818700.
4. Naudie D, Bourne RB, Rorabeck CH, Bourne TJ. The Install Award. Survivorship of the high tibial valgus osteotomy. A 10- to -22-year followup study. Clin Orthop Relat Res. 1999;(367):18-27. PMID: 10546594.
5. Capella M, Gennari E, Dolfin M, Saccia F. Indications and results of high tibial osteotomy. Ann Joint 2017:2;33. doi: 10.21037/aoj.2017.06.06 https://aoj.amegroups.com/article/view/3720/4378
6. Sabzevari S, Ebrahimpour A, Roudi MK, Kachooei AR. High Tibial Osteotomy: A Systematic Review and Current Concept. Arch Bone Jt Surg. 2016;4(3):204-212. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc4969364/
7. Howells NR, Salmon L, Waller A, Scanelli J, Pinczewski LA. The outcome at ten years of lateral closing-wedge high tibial osteotomy: determinants of survival and functional outcome. Bone Joint J. 2014;96-B (11):1491-1497. doi:10.1302/0301-620X.96B11.33617 https://doi.org/10.1302/0301-620x.96b11.33617
8. Trieb K, Grohs J, Hanslik-Schnabel B, Stulnig T, Panotopoulos J, Wanivenhaus A. Age predicts outcome of high-tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2006;14(2):149-152. doi:10.1007/s00167-005-0638-5 https://doi.org/10.1007/s00167-005-0638-5
9. Bonasia DE, Dettoni F, Sito G, et al. Medial opening wedge high tibial osteotomy for medial compartment overload/arthritis in the varus knee: prognostic factors. Am J Sports Med. 2014;42(3):690-698. doi:10.1177/0363546513516577 https://doi.org/10.1177/0363546513516577
10. Akizuki S, Shibakawa A, Takizawa T, Yamazaki I, Horiuchi H. The long-term outcome of high tibial osteotomy: a ten- to 20-year follow-up. J Bone Joint Surg Br. 2008;90(5):592-596. doi:10.1302/0301-620X.90B5.20386 https://doi.org/10.1302/0301-620x.90b5.20386
11. Flecher X, Parratte S, Aubaniac JM, Argenson JN. A 12-28-year followup study of closing wedge high tibial osteotomy. Clin Orthop Relat Res. 2006;452:91-96. doi:10.1097/01.blo.0000229362.12244.f6 https://doi.org/10.1097/01.blo.0000229362.12244.f6
12. Herbst M, Ahrend MD, Grünwald L, Fischer C, Schröter S, Ihle C. Overweight patients benefit from high tibial osteotomy to the same extent as patients with normal weights but show inferior mid-term results [published online ahead of print, 2021 Feb 11]. Knee Surg Sports Traumatol Arthrosc. 2021;10.1007/s00167-021-06457-3. doi:10.1007/s00167-021-06457-3 https://doi.org/10.1007/s00167-021-06457-3
13. Noyes, Frank & Barber-Westin, Sue. (2010). Primary, Double, and Triple Varus Knee Syndromes. In book: Noyes’ Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes (pp.821-895). 10.1016/B978-1-4160-5474-0.00031-X
14. Floerkemeier S, Staubli AE, Schroeter S, Goldhahn S, Lobenhoffer P. Outcome after high tibial open-wedge osteotomy: a retrospective evaluation of 533 patients. Knee Surg Sports Traumatol Arthrosc. 2013;21(1):170-180. doi:10.1007/s00167-012-2087-2 https://doi.org/10.1007/s00167-012-2087-2
15. Schuster P, Geßlein M, Schlumberger M, et al. Ten-Year Results of Medial Open-Wedge High Tibial Osteotomy and Chondral Resurfacing in Severe Medial Osteoarthritis and Varus Malalignment. Am J Sports Med. 2018;46(6):1362-1370. doi:10.1177/0363546518758016 https://doi.org/10.1177/0363546518758016
16. Hohloch L, Kim S, Eberbach H, et al. Improved clinical outcome after medial open-wedge osteotomy despite cartilage lesions in the lateral compartment. PLoS One. 2019;14(10):e0224080. Published 2019 Oct 24. doi:10.1371/journal.pone.0224080 https://doi.org/10.1371/journal.pone.0224080
17. Bin SI, Kim HJ, Ahn HS, Rim DS, Lee DH. Changes in Patellar Height After Opening Wedge and Closing Wedge High Tibial Osteotomy: A Meta-analysis. Arthroscopy. 2016;32(11):2393-2400. doi:10.1016/j.arthro.2016.06.012 https://doi.org/10.1016/j.arthro.2016.06.012
18. Kloos, F., Becher, C., Fleischer, B. et al. High tibial osteotomy increases patellofemoral pressure if adverted proximal, while open-wedge HTO with distal biplanar osteotomy discharges the patellofemoral joint: different open-wedge high tibial osteotomies compared to an extra-articular unloading device. Knee Surg Sports Traumatol Arthrosc 27, 2334–2344 (2019). https://doi.org/10.1007/s00167-018-5194-x
19. Javidan P, Adamson GJ, Miller JR, et al. The effect of medial opening wedge proximal tibial osteotomy on patellofemoral contact. Am J Sports Med. 2013;41(1):80-86. doi:10.1177/0363546512462810 https://doi.org/10.1177/0363546512462810
20. Krause M, Drenck TC, Korthaus A, Preiss A, Frosch KH, Akoto R. Patella height is not altered by descending medial open-wedge high tibial osteotomy (HTO) compared to ascending HTO. Knee Surg Sports Traumatol Arthrosc. 2018;26(6):1859-1866. doi:10.1007/s00167-017-4548-0 https://doi.org/10.1007/s00167-017-4548-0
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
22. Arthur A, LaPrade RF, Agel J. Proximal tibial opening wedge osteotomy as the initial treatment for chronic posterolateral corner deficiency in the varus knee: a prospective clinical study. Am J Sports Med. 2007;35(11):1844-1850. doi:10.1177/0363546507304717 https://doi.org/10.1177/0363546507304717
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


(Abstract Text HTML)      (Download PDF)


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.
6. Lijoi F, Lughi M, Baccarani G. Posterior arthroscopic approach to the ankle. Arthroscopy. 2003 Jan 1;19(1):62-7.
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.
8. d’Hooghe PP, van Dijk CN. Hindfoot Endoscopy for Posterior Ankle Impingement. InArthroscopy 2016 (pp. 1067-1077). Springer, Berlin, Heidelberg.
9. Balcı Hİ, Polat G, Dikmen G, Atalar A, Kapıcıoğlu M, Aşık M. Safety of posterior ankle arthroscopy portals in different ankle positions: a cadaveric study. Knee Surgery, Sports Traumatology, Arthroscopy. 2016 Jul 1;24(7):2119-23.
10. Urguden M, Cevikol C, Dabak TK, Karaali K, Aydin AT, Apaydin A. Effect of jointmotion on safety of portals in posterior ankle arthroscopy. Arthroscopy 25:1442–1446, 2009.
11. Van Dijk CN, De Leeuw PA, Scholten PE. Hindfoot endoscopy for posterior ankle impingement: surgical technique. JBJS. 2009 Oct 1;91(Supplement_2):287-98.
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.
13. Spennacchio P, Cucchi D, Randelli PS, et al. Evidence-based indications for hindfoot endoscopy. Knee Surg Sports TraumatolArthrosc2016;24:1386–95.
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.
15. van Dijk CN, van Bergen CJ. Advancements in ankle arthroscopy. J Am AcadOrthopSurg2008;16:635–46.
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.
19. Smyth NA, Murawski CD, Levine DS, Kennedy JG. Hindfoot arthroscopic surgery for posterior ankle impingement: a systematic surgical approach and case series. The American journal of sports medicine. 2013 Aug;41(8):1869-76.
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.
21. Beimers L, de Leeuw PAJ, van Dijk CN. A 3-portal approach for arthroscopic subtalar arthrodesis. Knee Surgery, Sports Traumatology, Arthroscopy. 2009;17(7):830-834.
22. Lee KB, Saltzman CL, Suh JS, Wasserman L, Amendola A. A posterior 3-portal arthroscopic approach for isolated subtalar arthrodesis. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2008 Nov 1;24(11):1306-10.


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.


(Abstract)      (Full Text HTML)      (Download PDF)


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

1. Burman MS: Arthroscopy or the direct visualization of joints: An experimental cadaver study. J Bone Joint Surg Am 1931; 13:669-695.
2. Watanabe M: Sefloc-Arthroscope (Watanabe no. 24 arthroscope): Monograph. Tokyo, Japan: Teishin Hospital, 1972.
3. Chen YC: Clinical and cadaver studies on the ankle joint arthroscopy. J Jpn Orthop Assoc 1976; 50: pp. 631-651.
4. Kim et al. Reliability and Validity of Magnetic Resonance Imaging for the Evaluation of the Anterior Talofibular Ligament in Patients Undergoing Ankle Arthroscopy. Arthroscopy. 2015 Aug; 31(8):1540-7.
5. Accuracy of MRI scan in the diagnosis of ligamentous and chondral pathology in the ankle. Joshy S, Abdulkadir U, Chaganti S, Sullivan B, Hariharan K. Foot Ankle Surg. 2010 Jun;16(2):78-80.
6. Dowdy PA, Watson BV, Amendola A, and Brown JD: Noninvasive ankle distraction: relationship between force, magnitude of distraction, and nerve conduction abnormalities. Arthroscopy 1996; 12: pp. 64-69
7. van Dijk CN, Scholte D. Arthroscopy of the ankle joint. Arthroscopy. 1997 Feb; 13(1):90-6.
8. Gulihar A, Bryson DJ, Taylor GJ. Effect of different irrigation fluids on human articular cartilage: an in vitro study. Arthroscopy 2013; 29:251–6.
9. Ferkel, Richard D.; Dierckman, Brian D.; Phisitkul, Phinit. Mann’s Surgery of the Foot and Ankle. 9 th ed. Philadelphia, PA: Saunders, an imprint of Elsevier Inc; 2014. p.1723-1827.
10. Stetson WB, and Ferkel RD: Ankle arthroscopy: I. Technique and complications. J Am Acad Orthop Surg 1996; 4: pp. 17-23
11. Molloy S, Solan MC, Bendall SP. Synovial impingement in the ankle. A new physical sign. J Bone Joint Surg Br. 2003 Apr;85(3):330-3.
12. Brennan SA, Rahim F, Dowling J, Kearns SR. Arthroscopic debridement for soft tissue ankle impingement. Ir J Med Sci 2012; 181(2):253–6.
13. Parma A, Buda R, Vannini F, Ruffilli A, Cavallo M, Ferruzzi A, et al. Arthroscopic treatment of ankle anterior bony impingement: the long-term clinical outcome. Foot Ankle Int 2014; 35(2):148–55.
14. Jones CR, Wong E, Applegate GR, Ferkel RD. Arthroscopic Ankle Arthrodesis: A 2-15 Year Follow-up Study. Arthroscopy. 2018 May; 34(5):1641-1649.
15. Quayle J, Shafafy R, Khan MA, Ghosh K, Sakellariou A, Gougoulias N. Arthroscopic versus open ankle arthrodesis. Foot Ankle Surg. 2018 Apr; 24(2):137-142.
16. Zengerink M, Struijs PA, Tol JL, van Dijk CN. Treatment of osteochondral lesions of the talus: a systematic review [Review]. Knee Surg Sports Traumatol Arthrosc. 2010; 18(2):238-46.
17. Murawski CD, Duke GL, Deyer TW, Kennedy JG. Bone marrow aspirate concentrate (BMAC) as a biological adjunct to the surgical treatment of osteochondral lesions of the talus. Tech Foot Ankle Surg. 2011; 10:18-27.
18. Chen XZ, Chen Y, Liu CG, Yang H, Xu XD, Lin P.Arthroscopy-Assisted Surgery for Acute Ankle Fractures: A Systematic Review. Arthroscopy. 2015 Nov; 31(11):2224-31.
19. O’Loughlin PF, Murawski CD, Egan C, Kennedy JG. Ankle instability in sports [review]. Phys Sportsmed 2009; 37:93-103.
20. Brown AJ, Shimozono Y, Hurley ET, Kennedy JG. Arthroscopic Repair of Lateral Ankle Ligament for Chronic Lateral Ankle Instability: A Systematic Review. Arthroscopy. 2018 May 2. pii: S0749-8063(18)30185-3.
21. Choi WJ, Choi GW, Lee JW. Arthroscopic synovectomy of the ankle in rheumatoid arthritis. Arthroscopy. 2013 Jan; 29(1):133-40.
22. Kunzler DR, Shazadeh Safavi P, Warren BJ, Janney CF, Panchbhavi V. Arthroscopic Treatment of Synovial Chondromatosis in the Ankle Joint. Cureus. 2017 Dec 23; 9(12):e1983.
23. Saxena A, St Louis M. Synovial Chondromatosis of the Ankle: Report of Two Cases With 23 and 126 Loose Bodies. J Foot Ankle Surg. 2017 Jan – Feb; 56(1):182-186. doi: 10.1053/j.jfas.2016.02.009. Epub 2016 Apr 5. Review.
24. Kanatli U, Ataoğlu MB, Özer M, Yildirim A, Cetinkaya M. Arthroscopic treatment of intra-artricularly localised pigmented villonodular synovitis of the ankle: 4 cases with long-term follow-up. Foot Ankle Surg. 2017 Dec; 23(4):e14-e19.
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.
28. Ferkel RD, Heath DD, Guhl JF. Neurological complications of ankle arthroscopy. Arthroscopy. 1996 Apr; 12(2):200-8.
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.
30. Vega J, Golan´o P, Peña F. Iatrogenic articular cartilage injuries during ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2016 Apr; 24(4):1304-10. Epub 2014 Aug 24.
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 .


(Abstract)      (Full Text HTML)      (Download PDF)


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],
A
bhijeet 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.

 


(Abstract)      (Full Text HTML)      (Download PDF)