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Extra resources for AANA Advanced Arthroscopy. The Foot and Ankle
At this point, the arthroscope usually can be maneuvered in a posterolateral direction across the dome of the talus, affording visualization of the entire dome of the talus and the posterior joint structures (Fig. 4-9). The interosseous ligament complex is identified posteriorly (Fig. 4-10). These ligaments display a variable anatomy and have been described differently in anatomic dissection studies. 8 Superiorly, the broad posterior-inferior tibiofibular ligament represents the most distal end of the syndesmosis and its most distal fibers can be seen intraarticularly as the most superior component of the complex coursing from superior and medial to inferior and lateral aspects.
Osteotomes. Small osteotomes are useful for osteophyte removal (Fig. 3-13). Aiming Devices. Aiming devices are useful for accurate drilling when a transosseous approach is required. The aiming devices used for cruciate reconstruction in the knee are usually sufficient, but small joint devices can assist in tight joints. Awls. Awls are useful for microfracture of chondral lesions. A variety of tip angulations exist to facilitate appropriate access within the confined space of the ankle joint (Fig.
Arthroscopy of the ankle: technique and normal anatomy. Foot Ankle. 198;6:29-33. Ferkel RD, Dalton DH, Guhl JF. Neurological complications of ankle arthroscopy. Arthroscopy. 1996;12:200-208. Parisien JS, Vangsness T. Operative arthroscopy of the ankle. Three years’ experience. Clin Orthop Relat Res. 1985;(199):46-53. Harbach GP, Stewart JD, Lambert EW, Anderson C. Ankle arthroscopy in the lateral decubitus position. Foot Ankle Int. 2003;24:597-599. Chapter 3 Instrumentation and Operative Setup for Ankle and Subtalar Arthroscopy 6.