Abstract
Arthroscopic-assisted ankle fracture fixation technique enables surgeons to assess the tibiotalar joint for the concomitant articular cartilage, syndesmotic, deltoid, or other ligamentous injuries with smaller incisions. Arthroscopic-assisted open reduction and internal fixation (ORIF), or arthroscopic-assisted closed reduction percutaneous fixation, provides an optimal approach with relatively low complication rates and improved outcomes. Indications and contraindications are similar to open ankle fractures. However, due to the fracture displacement and soft tissue swelling caused by the injury, there are a few specific complications associated with ankle arthroscopy in this technique that surgeons need to be aware of.
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Further Reading
Atesok K, Doral MN, Whipple T, et al. Arthroscopy-assisted fracture fixation. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):320–9.
Bonasia DE, Rossi R, Saltzman CL, Amendola A. The role of arthroscopy in the management of fracture about the ankle. J Am Acad Orthop Surg. 2011;19(4):226–35.
Drez D, Guhl JF, Gollehan DL. Ankle arthroscopy: technique and indications. Clin Sports Med. 1982;1(1):35–45.
Hintermann B, Regazzoni P, Lampert C, et al. Arthroscopic findings in acute fracture of the ankle. J Bone Joint Surg Br. 2000;82:345–51.
Kong C, Kolla L, Wing K, et al. Arthroscopy-assisted closed reduction and percutaneous nail fixation of unstable ankle fractures: description of a minimally invasive procedure. Arthrosc Tech. 2014;3(1):e181–4.
Labib SA, Magill M, Slone HA. Ankle arthroscopy for ankle fracture care. Tech Foot Ankle. 2015;14:21–4.
Leontaritis N, Hinojosa L, Panchbhavi VK. Arthroscopically detected intraarticular lesions associated with acute ankle fractures. J Bone Joint Surg Am. 2009;91(2):33–9.
Loren GJ, Ferkel RD. Arthroscopic assessment of occult intra-articular injury in acute ankle fractures. Arthroscopy. 1997;18:412–21.
Martin KD. Posterior arthroscopic reduction and internal fixation for treatment of posterior malleolus fractures. Foot Ankle Int. 2020;41(1):115–20.
Martin KD, Unangst AM, Englert CR. Posterior ankle arthroscopic reduction with internal fixation. Arthrosc Tech. 2016;5(6):e1261–5.
Martin KD, Tripp CT, Huh J. Outcomes of posterior arthroscopic reduction and internal fixation (PARIF) for the posterior malleolar fragment in trimalleolar ankle fractures. Foot Ankle Int. 2021;42(2):157–65.
Ono A, Nishikawa S, Nagao A, et al. Arthroscopically assisted treatment of ankle fractures: arthroscopic findings and surgical outcomes. Arthroscopy. 2004;20:627–31.
Sitler DF, Amendola A, Bailey CS, et al. Posterior ankle arthroscopy: an anatomic study. J Bone Joint Surg Am. 2002;84:763–9.
Thordarson DB, Bains R, Shepher LE. The role of ankle arthroscopy on the surgical management of ankle fractures. Foot Ankle Int. 2001;22(2):123–5.
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Yan, A.Y., Maestre, S., Fu, C., Wei, B. (2022). Arthroscopic-Assisted Treatment of Ankle Fracture. In: Arthroscopic Techniques and Anatomy of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-05190-6_10
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DOI: https://doi.org/10.1007/978-3-031-05190-6_10
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