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Article: Safety and efficacy of talonavicular arthroscopy in arthroscopic triple arthrodesis. A cadaveric study

TitleSafety and efficacy of talonavicular arthroscopy in arthroscopic triple arthrodesis. A cadaveric study
Authors
Issue Date2010
PublisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/167
Citation
Knee Surgery, Sports Traumatology, Arthroscopy, 2010, v. 18 n. 5, p. 607-611 How to Cite?
AbstractThis is a cadaveric study on the safety and efficacy of talonavicular arthroscopy in arthroscopic triple arthrodesis. Talonavicular arthroscopy was performed in 18 feet of 9 fresh frozen cadavers. The specimens were divided into 3 groups (6 feet in each group). The articular cartilage of the talar and navicular facet was abraded with a hemostat through the dorsolateral portal in group 1 specimens. The cartilage was abraded through the dorsomedial portal in group 2 specimens and through the medial portal in group 3 specimens. The area of cartilage abrasion represented the working area of the corresponding portal. The working area of individual portal and the relationship of individual portal to the adjacent neurovascular structure were studied. The medial portal averaged 12 mm medial to the long saphenous vein and saphaneous nerve. The dorsomedial portal was 1 mm lateral to the intermediate cutaneous branch of superficial peroneal nerve and 5 mm lateral to the extensor hallucis longus tendon. It was 4 mm lateral to the deep peroneal nerve. The dorsolateral portal was 4 mm medial to the lateral branch of superficial peroneal nerve. In group 1, the working area of the dorsolateral portal averaged 60 ± 4% for the talar facet and 66 ± 12% for the navicular facet. In group 2, the working area of the dorsomedial portal averaged 56 ± 3% for the talar facet and 64 ± 8% for the navicular facet. In group 3, the working area of the medial portal averaged 40 ± 4% for the talar facet and 55 ± 11% for the navicular facet. Most of the talar and navicular surfaces can be prepared for fusion without the need of excessive bone removal during arthroscopic triple arthrodesis. This study confirmed the efficacy of the arthroscopic triple arthrodesis and arouses the surgeon about the risk of neural damage especially at the dorsomedial portal. © 2010 Springer-Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/176328
ISSN
2015 Impact Factor: 3.097
2015 SCImago Journal Rankings: 1.805
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLui, THen_US
dc.contributor.authorChan, LKen_US
dc.date.accessioned2012-11-26T09:09:21Z-
dc.date.available2012-11-26T09:09:21Z-
dc.date.issued2010en_US
dc.identifier.citationKnee Surgery, Sports Traumatology, Arthroscopy, 2010, v. 18 n. 5, p. 607-611en_US
dc.identifier.issn0942-2056en_US
dc.identifier.urihttp://hdl.handle.net/10722/176328-
dc.description.abstractThis is a cadaveric study on the safety and efficacy of talonavicular arthroscopy in arthroscopic triple arthrodesis. Talonavicular arthroscopy was performed in 18 feet of 9 fresh frozen cadavers. The specimens were divided into 3 groups (6 feet in each group). The articular cartilage of the talar and navicular facet was abraded with a hemostat through the dorsolateral portal in group 1 specimens. The cartilage was abraded through the dorsomedial portal in group 2 specimens and through the medial portal in group 3 specimens. The area of cartilage abrasion represented the working area of the corresponding portal. The working area of individual portal and the relationship of individual portal to the adjacent neurovascular structure were studied. The medial portal averaged 12 mm medial to the long saphenous vein and saphaneous nerve. The dorsomedial portal was 1 mm lateral to the intermediate cutaneous branch of superficial peroneal nerve and 5 mm lateral to the extensor hallucis longus tendon. It was 4 mm lateral to the deep peroneal nerve. The dorsolateral portal was 4 mm medial to the lateral branch of superficial peroneal nerve. In group 1, the working area of the dorsolateral portal averaged 60 ± 4% for the talar facet and 66 ± 12% for the navicular facet. In group 2, the working area of the dorsomedial portal averaged 56 ± 3% for the talar facet and 64 ± 8% for the navicular facet. In group 3, the working area of the medial portal averaged 40 ± 4% for the talar facet and 55 ± 11% for the navicular facet. Most of the talar and navicular surfaces can be prepared for fusion without the need of excessive bone removal during arthroscopic triple arthrodesis. This study confirmed the efficacy of the arthroscopic triple arthrodesis and arouses the surgeon about the risk of neural damage especially at the dorsomedial portal. © 2010 Springer-Verlag.en_US
dc.languageengen_US
dc.publisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/167en_US
dc.relation.ispartofKnee Surgery, Sports Traumatology, Arthroscopyen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAnkle Joint - Innervation - Surgeryen_US
dc.subject.meshArthrodesis - Methodsen_US
dc.subject.meshArthroscopy - Methodsen_US
dc.subject.meshCadaveren_US
dc.subject.meshCartilage, Articular - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshTalus - Surgeryen_US
dc.titleSafety and efficacy of talonavicular arthroscopy in arthroscopic triple arthrodesis. A cadaveric studyen_US
dc.typeArticleen_US
dc.identifier.emailChan, LK: lapki@hkucc.hku.hken_US
dc.identifier.authorityChan, LK=rp00536en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1007/s00167-010-1098-0en_US
dc.identifier.pmid20217388-
dc.identifier.scopuseid_2-s2.0-77952321266en_US
dc.identifier.hkuros171801-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-77952321266&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume18en_US
dc.identifier.issue5en_US
dc.identifier.spage607en_US
dc.identifier.epage611en_US
dc.identifier.isiWOS:000276722900008-
dc.publisher.placeGermanyen_US
dc.identifier.scopusauthoridLui, TH=9237221000en_US
dc.identifier.scopusauthoridChan, LK=7403540426en_US
dc.identifier.citeulike6828688-

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