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Modified posterior portals for hindfoot arthroscopy

, : Modified posterior portals for hindfoot arthroscopy. Arthroscopy 23(10): 1116-1123

Purpose: The purpose of this study was to determine the course and safe distances achieved with modified coaxial portals for hindfoot arthroscopy and report the clinical results.Methods: We used 30 embalmed cadaveric ankle specimens and 10 fresh-frozen ankle specimens for anatomic measurements and trial operations. The posteromedial portal via the posterior tibial tendon sheath was first established. The posterolateral portal was subsequently created immediately behind the posterior border of the lateral malleolus and anterior to the peroneal tendons via an inside-out technique. The coaxial portals were finally established with cannulas left in place. In the clinical series, posterior ankle arthroscopy was performed on 18 ankles in 15 patients. All patients were evaluated for any complications with a mean follow-up of 38 months.Results: The posterior tibial nerve, posterior tibial artery, and peroneal artery were located a mean distance of 8.7 mm, 10.1 mm, and 12.9 mm, respectively, from the near edge of the Kirschner wire as a reference to the coaxial portals. The sural nerve and lesser saphenous vein were at greater distances of 27.6 mm and 28.3 mm, respectively. The mean West Point score at the time of the latest follow-up was 91.5 points (range, 76 to 100 points), and there were 9 excellent results, 3 good results, and I fair result. No patients showed any complications related to the modified coaxial portals.Conclusions: The modified coaxial portals seemed to have large distances to the neurovascular structures in our anatomic study. Clinically, this technique was safe, effective, and reproducible.Level of Evidence: Level IV, therapeutic case series.


PMID: 17916479

DOI: 10.1016/j.arthro.2007.04.015

Other references

Clerck, Marcel De., 1963: Adult education and rural development. Analysis of adult education and how it can be instrumental in furthering rural development. The attitudes and actions of the educator and person being taught a particular bit of knowledge or technique are studied from all aspects, as also their na...

van der Vliet, J.A.; van der Linden, C.J.; Greep, J.M., 1985: Chylothorax after gastric resection. Traumatic chylothorax has been described as an uncommon complication of various thoracic and cervical surgical procedures. No previous reports have been made of chylothorax following gastric resection for malignancy. Two cases of chylothorax follo...

Abdul Rahman, S., 1980: Absorption spectrophotometry of host and parasite haemoglobin. Spectrophotometric analysis of horse haemoglobin and homogenates of Strongylus edentatus and Cylicocyclus spp. revealed that there were no significant differences in absorption spectra of haemoglobin and oxyhaemoglobin between the host and the 2 p...

Durham A., 1971: How a virus assembles itself. New Scientist 49(736): 200-203

Keefer, S.; Hoeksema, S., 1992: Single cell algae cultures as a nutritional supplement for invertebrate diets. AAZPA Annual Conference Proceedings, 378-380

Hardy, R.W.F.; Havelka, U.D.; Quebedeaux, B., 1978: Increasing crop productivity. The problem, strategies, approach, and selected rate-limitations related to photosynthesis. The following possible ways of increasing photosynthesis in the future are discussed: (a) CO2 enrichment which may lead to decreased O2 inhibition of photosynthesis and decreased photorespiration. Improved yields of 50% for legumes and 10-50% for...

Zhou, J-Dong.; Zhang, T-Juan.; Li, X-Xi.; Ma, J-Chun.; Guo, H.; Wen, X-Mei.; Zhang, W.; Yang, L.; Yan, Y.; Lin, J.; Qian, J., 2017: Epigenetic dysregulation of ID4 predicts disease progression and treatment outcome in myeloid malignancies. Promoter hypermethylation-mediated inactivation of ID4 plays a crucial role in the development of solid tumours. This study aimed to investigate ID4 methylation and its clinical relevance in myeloid malignancies. ID4 hypermethylation was associate...

Yamazaki, Y.; Kitagawa, Y.; Hata, H.; Sakakibara, N.; Shindoh, M.; Tmamaki, N., 2008: Cervical toxoplasmic lymphadenitis can mimic malignant lymphoma on FDG PET. Clinical Nuclear Medicine 33(11): 819-820

Lindahl, L.; Zengel, J.M., 1986: Ribosomal genes in Escherichia coli. We describe two patients and a previously reported patient who acquired unique pendular vergence oscillations of the eyes and concurrent contractions of the masticatory muscles, i.e., oculomasticatory myorhythmia (OMM). The smooth disjunctive eye...

Nathwani, D.; Green, S.T.; Gourlay, Y.J.; Kennedy, D.H., 1990: Aerosolised pentamidine (AP) prophylaxis for Pneumocystis carinii pneumonia (PCP) using a low cost jet nebulising system. Scandinavian Journal of Infectious Diseases 22(3): 379