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J Am Acad Orthop Surg, Vol 16, No 11, November 2008, 635-646.
© 2008 the American Academy of Orthopaedic Surgeons
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Advancements in Ankle Arthroscopy

C. Niek van Dijk, MD, PhD and Christiaan J. A. van Bergen, MD

Dr. van Dijk is Professor and Head, Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands. Dr. van Bergen is Research Fellow, Orthopaedic Research Center Amsterdam, Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. van Dijk and Dr. van Bergen.

Reprint requests: Dr. van Bergen, Orthopaedic Research Center Amsterdam, Academic Medical Center, G4-262, Meibergdreef 9,1100 DD Amsterdam, The Netherlands.

Important progress has been made during the past 30 years in arthroscopic ankle surgery. Ankle arthroscopy has gradually changed from a diagnostic to a therapeutic tool. Most arthroscopic procedures can be performed by using the anterior working area with the ankle in dorsiflexion or plantar flexion; there is no need for routine ankle distraction. Anterior ankle problems, such as anterior impingement syndrome, are approached by anteromedial and anterolateral portals and, if necessary, an accessory portal. Most osteochondral defects can be reached from anterior with the ankle in plantar flexion. For a far posterior location, the osteochondral defect can be approached from posterior. The two-portal hindfoot endoscopic technique (ie, both arthroscopic and endoscopic surgery), with the patient in the prone position, provides excellent access to the posterior ankle compartment and to posteriorly located extra-articular structures. 






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Copyright © 2008 by the American Academy of Orthopaedic Surgeons.