Technique of Arthroscopic Treatment of Impingement After Total Ankle Arthroplasty
Rates of medial and/or lateral gutter impingement after total ankle replacement are not insignificant. If impingement should occur, it typically arises an average of 17 months after total ankle replacement. Our patient underwent treatment for right ankle medial gutter bony impingement with arthrosco...
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2016-04-01
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doaj-34b87afd2a0541e08bb856402cbedbf62021-06-10T04:52:32ZengElsevierArthroscopy Techniques2212-62872016-04-0152e235e239Technique of Arthroscopic Treatment of Impingement After Total Ankle ArthroplastyChristopher E. Gross, M.D.0Julie A. Neumann, M.D.1Jonathan A. Godin, M.D., M.B.A.2James K. DeOrio, M.D.3Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.Address correspondence to Julie A. Neumann, M.D., Department of Orthopaedic Surgery, Duke University Medical Center, 200 Trent Dr, Box 3000, Room 5309, Orange Zone, Durham, NC 27710, U.S.A.; Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina, U.S.A.Rates of medial and/or lateral gutter impingement after total ankle replacement are not insignificant. If impingement should occur, it typically arises an average of 17 months after total ankle replacement. Our patient underwent treatment for right ankle medial gutter bony impingement with arthroscopic debridement 5 years after her initial total ankle replacement. Standard anteromedial and anterolateral portals and a 30° 2.7-mm-diameter arthroscope were used. An aggressive soft-tissue and bony resection was performed using a combination of curettes, a 3.5-mm shaver, a 5.5-mm unsheathed burr, a drill, and a radiofrequency ablator. This case shows that arthroscopic treatment is an effective and potentially advantageous alternative to open treatment of impingement after total ankle replacement. In addition, symptoms of impingement often improve in a short amount of time after arthroscopic debridement of the medial and/or lateral gutter.http://www.sciencedirect.com/science/article/pii/S2212628715001875 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Christopher E. Gross, M.D. Julie A. Neumann, M.D. Jonathan A. Godin, M.D., M.B.A. James K. DeOrio, M.D. |
spellingShingle |
Christopher E. Gross, M.D. Julie A. Neumann, M.D. Jonathan A. Godin, M.D., M.B.A. James K. DeOrio, M.D. Technique of Arthroscopic Treatment of Impingement After Total Ankle Arthroplasty Arthroscopy Techniques |
author_facet |
Christopher E. Gross, M.D. Julie A. Neumann, M.D. Jonathan A. Godin, M.D., M.B.A. James K. DeOrio, M.D. |
author_sort |
Christopher E. Gross, M.D. |
title |
Technique of Arthroscopic Treatment of Impingement After Total Ankle Arthroplasty |
title_short |
Technique of Arthroscopic Treatment of Impingement After Total Ankle Arthroplasty |
title_full |
Technique of Arthroscopic Treatment of Impingement After Total Ankle Arthroplasty |
title_fullStr |
Technique of Arthroscopic Treatment of Impingement After Total Ankle Arthroplasty |
title_full_unstemmed |
Technique of Arthroscopic Treatment of Impingement After Total Ankle Arthroplasty |
title_sort |
technique of arthroscopic treatment of impingement after total ankle arthroplasty |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2016-04-01 |
description |
Rates of medial and/or lateral gutter impingement after total ankle replacement are not insignificant. If impingement should occur, it typically arises an average of 17 months after total ankle replacement. Our patient underwent treatment for right ankle medial gutter bony impingement with arthroscopic debridement 5 years after her initial total ankle replacement. Standard anteromedial and anterolateral portals and a 30° 2.7-mm-diameter arthroscope were used. An aggressive soft-tissue and bony resection was performed using a combination of curettes, a 3.5-mm shaver, a 5.5-mm unsheathed burr, a drill, and a radiofrequency ablator. This case shows that arthroscopic treatment is an effective and potentially advantageous alternative to open treatment of impingement after total ankle replacement. In addition, symptoms of impingement often improve in a short amount of time after arthroscopic debridement of the medial and/or lateral gutter. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628715001875 |
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