The Experts below are selected from a list of 2037 Experts worldwide ranked by ideXlab platform

Michael Fox - One of the best experts on this subject based on the ideXlab platform.

  • Iatrogenic posterior tibial nerve division during a combined anterior Ankle Arthroscopy with an additional posterolateral portal.
    Journal of surgical case reports, 2016
    Co-Authors: Hani B. Abdul-jabar, Jagmeet S. Bhamra, Tom Quick, Michael Fox
    Abstract:

    Ankle Arthroscopy is an important diagnostic and therapeutic technique in the management of Ankle disorders. Nowadays Ankle Arthroscopy provides good to excellent results (up to 90%) in the treatment of certain intra-articular disorders. Due to the superficial location of Ankle joint and the abundance of overlying neurovascular structures, complications reported in Ankle Arthroscopy are greater than those reported in other joints. We present the first reported case of a complete division of the posterior tibial nerve during an anterior Ankle Arthroscopy combined with an additional posterolateral portal. This was due to a poorly controlled use of the arthroscopic instruments.

Ricardo Rodriguespinto - One of the best experts on this subject based on the ideXlab platform.

  • anatomical relations of anterior and posterior Ankle Arthroscopy portals a cadaveric study
    European Journal of Orthopaedic Surgery and Traumatology, 2015
    Co-Authors: Xavier Martin Oliva, Jose Manuel Mendez Lopez, Mariano Monzo Planella, Alex Bravo, Ricardo Rodriguespinto
    Abstract:

    Ankle Arthroscopy is an increasingly used technique. Knowledge of the anatomical structures in relation to its portals is paramount to avoid complications. Twenty cadaveric Ankles were analysed to assess the distance between relevant neurovascular structures to the anteromedial, anterolateral, posteromedial, and posterolateral Arthroscopy portals. The intermediate dorsal branch of the superficial peroneal nerve was the closest structure to any of the portals (4.8 mm from the anterolateral portal), followed by the posterior tibial nerve (7.3 mm from the posteromedial portal). All structures analysed but one (posterior tibial artery) were, at least in one specimen, <5 mm distant from one of the portals. This study provides information on the anatomical relations of Ankle Arthroscopy portals and relevant neurovascular structures, confirming previous studies identifying the superficial peroneal nerve as the structure at highest risk of injury, but also highlighting some important variations. Techniques to minimise the injury to these structures are discussed.

Maffulli Nicola - One of the best experts on this subject based on the ideXlab platform.

  • Pseudoaneurysm of peroneal artery after Ankle Arthroscopy.
    Muscles ligaments and tendons journal, 2014
    Co-Authors: Daniela Battisti, Francesco Oliva, Umberto Tarantino, Maffulli Nicola
    Abstract:

    Background: Ankle Arthroscopy increased its role in the diagnosis and treatment of pathology of the Ankle since 1970s. Although the benefits are well established, Ankle Arthroscopy is associated with a definite risk of complications, especially neurological. The incidence rate of vascular complication after anterior Ankle Arthroscopy has been reported. Methods: we review the literature on vascular complications after anterior Ankle Arthroscopy especially pseudoaneurysm and a case report of a peronal artery pseudoaneurysm was reported. Conclusion: vascular complications after an anterior Ankle Arthroscopy are extremely rare but orthopaedic surgeons should be wary of this chance. Among vascular complications after an anterior Ankle Arthroscopy, peroneal artery pseudoaneurysm to our knowledge never has been described until now.

Richard D. Ferkel - One of the best experts on this subject based on the ideXlab platform.

  • Complications in foot and Ankle Arthroscopy.
    Clinical orthopaedics and related research, 2001
    Co-Authors: Richard D. Ferkel, Henry N. Small, Jeffrey E. Gittins
    Abstract:

    Arthroscopy of the foot and Ankle has become an important diagnostic and therapeutic tool for the orthopaedic surgeon. A thorough knowledge of foot and Ankle anatomy and intraarticular anatomy is critical to avoid complications in foot and Ankle Arthroscopy. Numerous complications can occur in foot and Ankle Arthroscopy, such as neurologic, tendon, and ligament injuries, wound complications, infections, and instrument breakage. The most common complication is neurologic injury. The overall complication rate is 9%. Most complications associated with foot and Ankle Arthroscopy are transient and tend to resolve within 6 months. The only complication that persisted at 10 years followup was a neurologic injury, specifically, numbness at the incision site. Because the difficulty of procedures has increased, so has the complication rate. Knowledge of the more common complications in foot and Ankle Arthroscopy and improved techniques and instruments may reduce the overall complication rate.

  • neurological complications of Ankle Arthroscopy
    Arthroscopy, 1996
    Co-Authors: Richard D. Ferkel, Dalton D Heath, James F. Guhl
    Abstract:

    A retrospective review of the first 612 patients undergoing consecutive Ankle Arthroscopy in the practices of two experienced arthroscopists was under-taken. All inpatient records, outpatient charts, and operative reports were reviewed. Indications for surgery included pain, swelling, locking, and instability that failed to respond to nonoperative management. The results of our investigation revealed an overall complication rate of 9.0% (55 complications). There were 27 neurological complications (4.4% of all arthroscopies) accounting for 49.1% of the complications noted. Specifically, the superficial peroneal nerve was injured in 15 cases, the sural nerve in 6, the saphenous nerve in 5, and the deep peroneal nerve in 1. All nerve injuries occurred through direct injury by portal or distractor pin placement. No cases of neurological injury caused by tourniquet compression or compartment syndrome were seen. Also, 1 case of reflex sympathetic dystrophy was identified.

  • Ankle Arthroscopy: II. Indications and Results.
    The Journal of the American Academy of Orthopaedic Surgeons, 1996
    Co-Authors: William B. Stetson, Richard D. Ferkel
    Abstract:

    Diagnostic indications for the use of Ankle Arthroscopy include unexplained pain, swelling, stiffness, instability, hemarthrosis, and locking or popping, as well as a negative workup in a patient with significant Ankle symptoms unresponsive to conservative care. Therapeutic indications include injuries of the articular cartilage and soft tissue, bone impingement, debridement of soft-tissue lesions, synovectomy and loose-body removal, arthrofibrosis, Ankle fractures, and osteochondral defects. Ankle Arthroscopy can also be used in Ankle-stabilization procedures and arthrodesis, as well as for irrigation and debridement of septic arthritis. An algorithm has been developed to facilitate selection of the appropriate treatment for a patient with chronic Ankle pain of unknown etiology. When used for the appropriate indications, Ankle Arthroscopy appears to give good results. J Am Acad Orthop Surg 1996;4:24-34

Christopher J. Pearce - One of the best experts on this subject based on the ideXlab platform.

  • Return to training and playing after posterior Ankle Arthroscopy for posterior impingement in elite professional soccer.
    The American journal of sports medicine, 2009
    Co-Authors: James D. Calder, Shaun A. Sexton, Christopher J. Pearce
    Abstract:

    BackgroundPosterior Ankle impingement syndrome (PAIS) was first described in ballet dancers but is increasingly being diagnosed in other sports. Operative treatment may be indicated when nonoperative measures have failed. Traditionally, operative treatment has involved an open approach; more recently, posterior Ankle Arthroscopy has been employed.PurposeThis study was conducted to describe the factors that influence return to play in professional athletes after posterior Ankle Arthroscopy for posterior Ankle impingement syndrome.Study DesignCase series; Level of evidence 4.MethodsA consecutive series of 28 elite professional soccer players who had clinically and radiologically diagnosed posterior Ankle impingement syndrome that failed to respond to nonoperative treatment underwent posterior Ankle Arthroscopy for bony or soft tissue posterior Ankle impingement syndrome over 5 years.ResultsOf the 28 players, 27 were available for follow-up. Five had a diagnosis of soft tissue impingement and underwent debri...

  • Posterior Ankle Arthroscopy in Sports: Posterior Impingement/Os Trigonum
    Operative Techniques in Orthopaedics, 2008
    Co-Authors: Christopher J. Pearce, James D. F. Calder
    Abstract:

    Posterior Ankle Arthroscopy can be used in the treatment of various conditions of the posterior Ankle and subtalar joints as well as the retrocalcaneal bursa. This article describes the indications, operative technique, postoperative care, complications, and results of posterior Ankle Arthroscopy, with a particular emphasis on sporting individuals who present with posterior impingement.