ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Two-millimetre diameter operative arthroscopy of the ankle is safe and effective.
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 24 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- One in Three Patients With Chronic Lateral Ankle Instability Has a Cartilage Lesion.The American journal of sports medicine · 2023Pooled it
- Pooled it
- Can bedside needle arthroscopy of the ankle be an accurate option for intra-articular delivery of injectable agents?World journal of orthopedics · 2022Trial
- Needle arthroscopy as an emerging office-based tool: Promising diagnostic value but limited evidence for therapeutic equivalence-A systematic review and frequentist meta-analysis.Journal of experimental orthopaedics · 2026Review
- Needle arthroscopy for the management of foot and ankle pathology.Bulletin of the Hospital for Joint Disease (2013) · 2025Review
- Visibility During Elbow Arthroscopy Using Needle Arthroscope: A Cadaveric Study.Orthopaedic journal of sports medicine · 2025Article
- lnfluence of intraoperative 3D fluoroscopy imaging on radiographic outcome and revision rate compared to conventional fluoroscopy in intra-articular calcaneus fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Wide-Awake Needle Arthroscopy of the Anterior Ankle: A Standardized Approach.Arthroscopy techniques · 2024Article
- Comparison of needle and conventional arthroscopy for visualisation of predefined anatomical structures of the knee joint: a feasibility study in human cadavers and patients.BMC musculoskeletal disorders · 2024Article
- Talonavicular Osteochondral Lesions: Surgical Technique and Clinical Outcomes from the Boston and Amsterdam Perspectives.Cartilage · 2024Article
- Fifteen out of 16 elite athletes showed concomitant low-grade cartilage lesions of the ankle with unstable syndesmotic injuries: concerns from a prospective case series.BMJ open sport & exercise medicine · 2024Article
- Implantation of a Cushioning Injectable Implant Using Needle Arthroscopy in the Foot and Ankle and First Carpometacarpal Joint.Arthroscopy techniques · 2023Article
- Needle Arthroscopic Subchondroplasty With Adipose-Derived Stem Cell Augmentation for the Treatment of Osteochondral Lesions of the Talus.Arthroscopy techniques · 2023Article
- Needle Arthroscopic Inspection and Treatment of (Osteo)chondral Lesions of the Ankle in Unstable Syndesmotic Injuries Treated With Suture Button Fixation: A Standardized Approach.Arthroscopy techniques · 2023Article
- Partial meniscectomy using needle arthroscopy associated with significantly less pain and improved patient reported outcomes at two weeks after surgery: A comparison to standard knee arthroscopy.Journal of orthopaedics · 2023Article
- Needle arthroscopy of the elbow through an anterior transbrachial portal.JSES international · 2023Article
- Nanoscopy and an extended lateral approach can improve the management of latero-central segments in tibial plateau fractures: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Comparison of Visibility and Risk of Neurovascular Tissue Injury Between Portals in Needle Arthroscopy of the Anterior Ankle Joint: A Cadaveric Study.Orthopaedic journal of sports medicine · 2023Article
- ORIF Assisted by Open Subtalar Small Joint Arthroscopy for Intra-articular Displaced Calcaneus Fractures.Foot & ankle orthopaedics · 2023Article
- Needle arthroscopy in anatomical reconstruction of the lateral ankle: a report of three cases with a parallel comparison to the standard arthroscopy procedure.Journal of experimental orthopaedics · 2022Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTechnical innovation now offers the possibility of 2-mm diameter operative arthroscopy: an alternative to conventional arthroscopy that no longer uses inner rod-lenses. The purpose of this study was to assess whether all significant structures in the ankle could be visualized and surgically reached during 2-mm diameter operative arthroscopy, without inflicting iatrogenic damage.
methodsA novel, 2-mm diameter arthroscopic system was used to perform a protocolled arthroscopic procedure in 10 fresh-frozen, human donor ankles. Standard anteromedial and anterolateral portals were utilized. Visualization and reach with tailored arthroscopic instruments of a protocolled list of articular structures were recorded and documented. A line was etched on the most posterior border of the talar and tibial cartilage that was safely reachable. The specimens were dissected and distances between portal tracts and neurovascular structures were measured. The articular surfaces of talus and tibia were photographed and inspected for iatrogenic damage. The reachable area on the articular surface was calculated and analysed.
resultsAll significant structures were successfully visualized and reached in all specimens. The anteromedial portal was not in contact with neurovascular structures in any specimen. The anterolateral portal collided with a branch of the superficial peroneal nerve in one case but did not cause macroscopically apparent harm. On average, 96% and 85% of the talar and tibial surfaces was reachable respectively, without causing iatrogenic damage.
conclusion2-mm diameter operative arthroscopy provides safe and effective visualization and surgical reach of the anterior ankle joint. It may hold the potential to make ankle arthroscopy less invasive and more accessible.
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