ArticleFoot & ankle international2019
Accessibility to Talar Dome in Neutral Position, Dorsiflexion, or Noninvasive Distraction in Posterior Ankle Arthroscopy.
Article in Foot & ankle international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Arthroscopic techniques in ankle surgery.Operative Orthopadie und Traumatologie · 2025Review
- Minimizing risk of iatrogenic nerve injury during peroneus longus tendon autograft harvest: a cadaveric study at different ankle or knee positions.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Ankle Arthroscopy Procedural Volume Is Low Among Graduating Orthopaedic Surgery Residents.Arthroscopy, sports medicine, and rehabilitation · 2022Article
- Use of the External Fixator Calcaneus Pin: Using the TRIMANO to Its Full Potential.Arthroscopy techniques · 2022Article
- Maximum Plantarflexion Lateral Ankle Radiograph for Preoperative Planning for the Arthroscopic Treatment of Osteochondral Lesions of the Talus.Foot & ankle orthopaedics · 2022Article
- Role of Arthroscopy in Various Ankle Disorders.Indian journal of orthopaedics · 2021Review
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Authors and funding
3 authors.
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Abstract
backgroundOsteochondral lesions of the talus are frequent pathologies of the ankle joint. Especially through arthroscopy, the treatment is kept as minimally invasive as possible. However, there are some drawbacks as to the reachability because of the high congruency of the ankle joint. Here, either noninvasive distraction or maximal dorsiflexion may be an option for better access to the lesion. The purpose of this study was to evaluate maximal dorsiflexion compared to neutral position or noninvasive distraction of the ankle joint in the arthroscopic reachability of the talar dome. The hypothesis of this study was that maximal dorsiflexion would allow for greater accessibility of the talar dome compared to neutral position or noninvasive distraction of the joint.
methodsTwenty matched pairs (n=40) of anatomical ankle specimens were used. The effects of neutral position, maximal dorsiflexion, and noninvasive distraction of the ankle joint on arthroscopic accessibility of the ankle joint were tested. After disarticulation of the talus, reach was measured and compared between the 3 positions.
resultsIn neutral position, 13.7±1.2 mm of the talar dome was reached laterally and 14.0±1.0 mm medially. In maximal dorsiflexion, the distance was 19.0±1.1mm laterally and 19.8±1.4 mm medially, and in noninvasive distraction it was 16.1±1.5 mm laterally and 15.7±1.0 mm medially. The statistical comparison showed a significantly better reach in dorsiflexion laterally (
conclusionAccessibility of the talar dome in maximal dorsiflexion was superior to that in neutral position or noninvasive distraction. CLINICAL RELEVANCE: Results of this study may allow for better planning in arthroscopic treatment of osteochondral lesions of the talus.
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