ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Anatomic lectures on structures at risk prior to cadaveric courses reduce injury to the superficial peroneal nerve, the commonest complication in ankle arthroscopy.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 16 citations in OpenAlex.
- Methods of nerve mapping to prevent iatrogenic nerve injuries during ankle arthroscopy: scoping review.EFORT open reviews · 2026Review
- All-arthroscopic repair of talar-sided anterior talofibular ligament insertion tears using knotless anchors: A retrospective case series.The Journal of international medical research · 2025Article
- [The importance of a verbal information session before surgical procedures].Orthopadie (Heidelberg, Germany) · 2025Article
- Current concepts in ankle microinstability and ankle functional instability.Journal of clinical orthopaedics and trauma · 2024Article
- High body mass index is not a contraindication for an arthroscopic ligament repair with biological augmentation in case of chronic ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Low to moderate risk of nerve damage during peroneus longus tendon autograft harvest.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Anterocentral Portal in Ankle Arthroscopy.Foot & ankle international · 2020Article
- The distribution pattern of the dorsal cutaneous nerves of the foot and its clinical implications.Anatomy & cell biology · 2020Article
- Potential Lack of Association Between Three Vestigial Muscles in Humans: A Willed Body Donor Study.Cureus · 2020Article
- Ankle arthroscopy: the wave that's coming.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Fibularis tertius muscle in women & men: A surface anatomy cross-sectional study across countries.PloS one · 2019Article
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6 authors at 5 institutions in 4 countries.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo assess the effectiveness of cadaveric ankle arthroscopy courses in reducing iatrogenic injuries.
methodsA total of 60 novice surgeons enrolled in a basic cadaveric ankle arthroscopy course were divided into two groups. Group A (n = 32) was lectured on portal placement and use of the arthroscope, whereas group B (n = 28) was in addition lectured on specific portal-related complications. Following the performance of anterior ankle arthroscopy and hindfoot endoscopy, the specimens were dissected and carefully assessed for detection of any iatrogenic injuries.
resultsThe rate of injury to the superficial peroneal nerve (SPN) was reduced from 25 to 3.6%, in group A compared with B (p = 0.033). Injuries to the peroneus tertius or extensor digitorum longus, the flexor hallucis longus and the tibial nerve or the Achilles tendon were also reduced in group B. Overall, the number of uninjured specimens was 50% (n = 30) and higher in group B (57%) than group A (44%). Lesions to the plantaris tendon, the sural nerve or the posterior tibial artery were more common in group B, however, without reaching statistical significance. Overall, 25 (13.9%) anatomic structures were injured in anterior arthroscopy compared to 18 (5%) in hindfoot endoscopy, out of a potential total of 180 and 360, respectively (p = 0.001).
conclusionDedicated lectures on portal-related complications have proven useful in reducing the risk of injury to the SPN, the commonest iatrogenic injury encountered in ankle arthroscopy. Hindfoot endoscopy is significantly safer than anterior ankle arthroscopy in terms of injury to anatomical structures.
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