Abstract
Treatment of combined anterior and posterior ankle pathology usually consists of either combined anterior and posterior arthrotomies or anterior ankle arthroscopy with an additional posterolateral portal. The first technique bears the risk of complications associated with the extensive exposure, the latter technique provides limited access to the posterior ankle joint. A case is described of combined anterior and posterior arthroscopy, with the patient lying prone and then turned supine, addressing both anterior and posterior ankle pathologies in one tempo. This minimally invasive combined approach allows quick recovery and early return to work and sports activities.
Highlights
In the early days of the orthopaedic era the ankle joint was regarded unsuitable for arthroscopy because of its typical anatomy [1]
There were no Posterior ankle impingement syndrome, os trigonum syndrome, tendinitis of the flexor hallucis longus (FHL) tendon, posterior tibial tendon, or peroneal tendons, posttraumatic calcifications, bony avulsions, osteochondral defects, ankle and subtalar arthrosis, synovitis, and loose bodies and their combinations, all can be the cause of posterior ankle pain [5]
Pericapsular and extracapsular posterior ankle pathology cannot be treated by means of routine anterior ankle arthroscopy [5]
Summary
In the early days of the orthopaedic era the ankle joint was regarded unsuitable for arthroscopy because of its typical anatomy [1]. The use of a 2-portal endoscopic approach to the posterior ankle with the patient in the prone position gives excellent access for the examination and treatment of posterior ankle pathology [4]. When both posterior and anterior ankle pathology coexist, the surgeon may consider an open anterior and posterior arthrotomy. A combined posterior and anterior arthroscopic approach was used, initially with the patient prone for the posterior arthroscopic procedure and turned supine for the anterior arthroscopic procedure, both in the same surgical session. This combined arthroscopic approach gives excellent access to both the anterior and posterior aspects of the ankle
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
