Skip to main content

An Update on Ankle Arthroscopy: Current Evidence and Practical Recommendations for 2020

  • Chapter
  • First Online:
ESSKA Instructional Course Lecture Book
  • 1386 Accesses

Abstract

When talking about innovations and progress in the field of arthroscopy, we have to focus on indications and technological improvement. The basic principle of looking in the joint did not change over the year, but technical innovations makes it possible to visualize more and to perform more specific procedures. The synergy with the industry makes that equipment can be invented to perform many surgical procedures which were impossible to do before. Off course being able to get a tool does not automatically mean that it is wise to use it, and we should always remain critical.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Zengerink M, van Dijk CN. Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2012;20(8):1420ā€“31. https://doi.org/10.1007/s00167-012-2063-x. Epub 2012 Jun 5. PubMed PMID: 22669362; PubMed Central PMCID: PMC3402678.

    ArticleĀ  PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  2. McGoldrick NP, Murphy EP, Kearns SR. Osteochondral lesions of the ankle: the current evidence supporting scaffold-based techniques and biological adjuncts. Foot Ankle Surg. 2018;24(2):86ā€“91. https://doi.org/10.1016/j.fas.2017.01.003. Epub 2017 Jan 20. Review. PubMed PMID: 29409225.

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  3. Reilingh ML, Lambers KTA, Dahmen J, Opdam KTM, Kerkhoffs GMMJ. The subchondral bone healing after fixation of an osteochondral talar defect is superior in comparison with microfracture. Knee Surg Sports Traumatol Arthrosc. 2018;26(7):2177ā€“82. https://doi.org/10.1007/s00167-017-4654-z. Epub 2017 Jul 27. PubMed PMID: 28752185; PubMed Central PMCID: PMC6061443.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  4. Kerkhoffs GM, Reilingh ML, Gerards RM, de Leeuw PA. Lift, drill, fill and fix (LDFF): a new arthroscopic treatment for talar osteochondral defects. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1265ā€“71. https://doi.org/10.1007/s00167-014-3057-7. Epub 2014 May 20. PubMed PMID: 24841940.

    ArticleĀ  CASĀ  PubMedĀ  Google ScholarĀ 

  5. van Bergen CJ, Kerkhoffs GM, Ɩzdemir M, Korstjens CM, Everts V, van Ruijven LJ, van Dijk CN, Blankevoort L. Demineralized bone matrix and platelet-rich plasma do not improve healing of osteochondral defects of the talus: an experimental goat study. Osteoarthr Cartil. 2013;21(11):1746ā€“54. https://doi.org/10.1016/j.joca.2013.07.014. Epub 2013 Jul 27. PubMed PMID: 23896314.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  6. Oudelaar BW, Peerbooms JC, Huis In ā€™t Veld R, Vochteloo AJH. Concentrations of blood components in commercial platelet-rich plasma separation systems: a review of the literature. Am J Sports Med. 2019;47(2):479ā€“87. https://doi.org/10.1177/0363546517746112. Epub 2018 Jan 16. PubMed PMID: 29337592.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  7. Fortier LA, Potter HG, Rickey EJ, Schnabel LV, Foo LF, Chong LR, Stokol T, Cheetham J, Nixon AJ. Concentrated bone marrow aspirate improves full-thickness cartilage repair compared with microfracture in the equine model. J Bone Joint Surg Am. 2010;92(10):1927ā€“37. https://doi.org/10.2106/JBJS.I.01284. PubMed PMID: 20720135.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  8. Saw KY, Hussin P, Loke SC, Azam M, Chen HC, Tay YG, Low S, Wallin KL, Ragavanaidu K. Articular cartilage regeneration with autologous marrow aspirate and hyaluronic acid: an experimental study in a goat model. Arthroscopy. 2009;25(12):1391ā€“400. https://doi.org/10.1016/j.arthro.2009.07.011. Epub 2009 Sep 17. PubMed PMID: 19962065.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  9. Smyth NA, Murawski CD, Haleem AM, Hannon CP, Savage-Elliott I, Kennedy JG. Establishing proof of concept: platelet-rich plasma and bone marrow aspirate concentrate may improve cartilage repair following surgical treatment for osteochondral lesions of the talus. World J Orthop. 2012;3(7):101ā€“8. https://doi.org/10.5312/wjo.v3.i7.101. PubMed PMID: 22816065; PubMed Central PMCID: PMC3399015.

    ArticleĀ  PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  10. Vannini F, Cavallo M, Ramponi L, Castagnini F, Massimi S, Giannini S, Buda RE. Return to sports after bone marrow-derived cell transplantation for osteochondral lesions of the talus. Cartilage. 2017;8(1):80ā€“7. Epub 2016 Apr 12. PubMed PMID: 27994723; PubMed Central PMCID: PMC5154421.

    ArticleĀ  Google ScholarĀ 

  11. Desando G, Bartolotti I, Vannini F, Cavallo C, Castagnini F, Buda R, Giannini S, Mosca M, Mariani E, Grigolo B. Repair potential of matrix-induced bone marrow aspirate concentrate and matrix-induced autologous chondrocyte implantation for talar osteochondral repair: patterns of some catabolic, inflammatory, and pain mediators. Cartilage. 2017;8(1):50ā€“60. Epub 2016 Apr 13. PubMed PMID: 27994720; PubMed Central PMCID: PMC5154420.

    ArticleĀ  Google ScholarĀ 

  12. Shimozono Y, Yasui Y, Ross AW, Miyamoto W, Kennedy JG. Scaffolds based therapy for osteochondral lesions of the talus: a systematic review. World J Orthop. 2017;8(10):798ā€“808. https://doi.org/10.5312/wjo.v8.i10.798. eCollection 2017 Oct 18. PubMed PMID: 29094011; PubMed Central PMCID: PMC5656496.

    ArticleĀ  PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  13. Baumfeld T, Baumfeld D, Prado M, Nery C. All-arthroscopic AMIC(Ā®) (AT-AMIC) for the treatment of talar osteochondral defects: a short follow-up case series. Foot (Edinb). 2018;37:23ā€“7. https://doi.org/10.1016/j.foot.2018.07.006. Epub 2018 Jul 25. PubMed PMID: 30321855.

    ArticleĀ  Google ScholarĀ 

  14. Nery C, Fonseca L, Raduan F, Moreno M, Baumfeld D, ESSKA AFAS Ankle Instability Group. Prospective study of the ā€œinside-outā€ arthroscopic ankle ligament technique: preliminary result. Foot Ankle Surg. 2018;24(4):320ā€“5. https://doi.org/10.1016/j.fas.2017.03.002. Epub 2017 Mar 22. PubMed PMID: 29409246.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  15. Michels F, Pereira H, Calder J, Matricali G, Glazebrook M, Guillo S, Karlsson J, ESSKA-AFAS Ankle Instability Group, Acevedo J, Batista J, Bauer T, Calder J, Carreira D, Choi W, Corte-Real N, Glazebrook M, Ghorbani A, Giza E, Guillo S, Hunt K, Karlsson J, Kong SW, Lee JW, Michels F, Molloy A, Mangone P, Matsui K, Nery C, Ozeki S, Pearce C, Pereira H, Perera A, Pijnenburg B, Raduan F, Stone J, Takao M, TournĆ© Y, Vega J. Searching for consensus in the approach to patients with chronic lateral ankle instability: ask the expert. Knee Surg Sports Traumatol Arthrosc. 2018;26(7):2095ā€“102. https://doi.org/10.1007/s00167-017-4556-0. Epub 2017 Apr 25. PubMed PMID: 28439639.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  16. Matsui K, Oliva XM, Takao M, Pereira BS, Gomes TM, Lozano JM, ESSKA AFAS Ankle Instability Group, Glazebrook M. Bony landmarks available for minimally invasive lateral ankle stabilization surgery: a cadaveric anatomical study. Knee Surg Sports Traumatol Arthrosc. 2017;25(6):1916ā€“24. https://doi.org/10.1007/s00167-016-4218-7. Epub 2016 Jun 28. PubMed PMID: 27351549.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  17. Glazebrook M, Stone J, Matsui K, Guillo S, Takao M, ESSKA AFAS Ankle Instability Group. Percutaneous ankle reconstruction of lateral ligaments (Perc-anti RoLL). Foot Ankle Int. 2016;37(6):659ā€“64. https://doi.org/10.1177/1071100716633648. Epub 2016 Feb 22. PubMed PMID: 26903001.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  18. Matsui K, Burgesson B, Takao M, Stone J, Guillo S, Glazebrook M, ESSKA AFAS Ankle Instability Group. Minimally invasive surgical treatment for chronic ankle instability: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1040ā€“8. https://doi.org/10.1007/s00167-016-4041-1. Epub 2016 Feb 11. Review. PubMed PMID: 26869032.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  19. Michels F, Matricali G, Guillo S, Vanrietvelde F, Pottel H, Stockmans F. An oblique fibular tunnel is recommended when reconstructing the ATFL and CFL. Knee Surg Sports Traumatol Arthrosc. 2019;28:124. https://doi.org/10.1007/s00167-019-05583-3. [Epub ahead of print]. PubMed PMID: 31240379.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  20. Teixeira J, Guillo S. Arthroscopic treatment of ankle instabilityā€”allograft/autograft reconstruction. Foot Ankle Clin. 2018;23(4):571ā€“9. https://doi.org/10.1016/j.fcl.2018.07.004. Review. PubMed PMID: 30414653.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  21. ElkaĆÆm M, ThĆØs A, Lopes R, Andrieu M, Cordier G, Molinier F, Benoist J, Colin F, Boniface O, Guillo S, Bauer T, French Arthroscopic Society. Agreement between arthroscopic and imaging study findings in chronic anterior talo-fibular ligament injuries. Orthop Traumatol Surg Res. 2018;104(8S):S213ā€“8. https://doi.org/10.1016/j.otsr.2018.09.008. Epub 2018 Sep 27. PubMed PMID: 30268650.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  22. ThĆØs A, Odagiri H, ElkaĆÆm M, Lopes R, Andrieu M, Cordier G, Molinier F, Benoist J, Colin F, Boniface O, Guillo S, Bauer T, French Arthroscopic Society. Arthroscopic classification of chronic anterior talo-fibular ligament lesions in chronic ankle instability. Orthop Traumatol Surg Res. 2018;104(8S):S207ā€“11. https://doi.org/10.1016/j.otsr.2018.09.004. Epub 2018 Sep 20. PubMed PMID: 30243676.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  23. Takao M, Glazebrook M, Stone J, Guillo S. Ankle arthroscopic reconstruction of lateral ligaments (ankle anti-ROLL). Arthrosc Tech. 2015;4(5):e595ā€“600. https://doi.org/10.1016/j.eats.2015.06.008. eCollection 2015 Oct. PubMed PMID: 26900560; PubMed Central PMCID: PMC4722511.

    ArticleĀ  PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  24. CrombĆ© A, Borghol S, Guillo S, Pesquer L, Dallaudiere B. Arthroscopic reconstruction of the lateral ankle ligaments: radiological evaluation and short-term clinical outcome. Diagn Interv Imaging. 2019;100(2):117ā€“25. https://doi.org/10.1016/j.diii.2018.09.002. Epub 2018 Nov 13. PubMed PMID: 30446413.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  25. Lopes R, Andrieu M, Cordier G, Molinier F, Benoist J, Colin F, ThĆØs A, ElkaĆÆm M, Boniface O, Guillo S, Bauer T, French Arthroscopic Society. Arthroscopic treatment of chronic ankle instability: prospective study of outcomes in 286 patients. Orthop Traumatol Surg Res. 2018;104(8S):S199ā€“205. https://doi.org/10.1016/j.otsr.2018.09.005. Epub 2018 Sep 21. PubMed PMID: 30245066.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  26. Cordier G, Lebecque J, Vega J, Dalmau-Pastor M. Arthroscopic ankle lateral ligament repair with biological augmentation gives excellent results in case of chronic ankle instability. Knee Surg Sports Traumatol Arthrosc. 2019;28:108. https://doi.org/10.1007/s00167-019-05650-9. [Epub ahead of print]. PubMed PMID: 31388694.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  27. Li H, Hua Y, Li H, Chen S. Anterior talofibular ligament (ATFL) repair using two suture anchors produced better functional outcomes than using one suture anchor for the treatment of chronic lateral ankle instability. Knee Surg Sports Traumatol Arthrosc. 2019;28:221. https://doi.org/10.1007/s00167-019-05550-y. [Epub ahead of print]. PubMed PMID: 31165905.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  28. Song YJ, Hua YH. Similar outcomes at early term after arthroscopic or open repair of chronic ankle instability: a systematic review and meta-analysis. J Foot Ankle Surg. 2019;58(2):312ā€“9. https://doi.org/10.1053/j.jfas.2018.08.026. PubMed PMID: 30850101.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  29. Guelfi M, Zamperetti M, Pantalone A, Usuelli FG, Salini V, Oliva XM. Open and arthroscopic lateral ligament repair for treatment of chronic ankle instability: a systematic review. Foot Ankle Surg. 2018;24(1):11ā€“8. https://doi.org/10.1016/j.fas.2016.05.315. Epub 2016 May 12. Review. PubMed PMID: 29413768.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  30. Li H, Hua Y, Li H, Ma K, Li S, Chen S. Activity level and function 2 years after anterior talofibular ligament repair: a comparison between arthroscopic repair and open repair procedures. Am J Sports Med. 2017;45(9):2044ā€“51. https://doi.org/10.1177/0363546517698675. Epub 2017 Apr 10. PubMed PMID: 28394631.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  31. Chen XZ, Chen Y, Zhu QZ, Wang LQ, Xu XD, Lin P. Prevalence and associated factors of intra-articular lesions in acute ankle fractures evaluated by arthroscopy and clinical outcomes with minimum 24-month follow-up. Chin Med J (Engl). 2019;132(15):1802ā€“6. https://doi.org/10.1097/CM9.0000000000000342. PubMed PMID: 31335476.

    ArticleĀ  Google ScholarĀ 

  32. Yasui Y, Shimozono Y, Hung CW, Marangon A, Wollstein A, Gianakos AL, Murawski CD, Kennedy JG. Postoperative reoperations and complications in 32,307 ankle fractures with and without concurrent ankle arthroscopic procedures in a 5-year period based on a large U.S. healthcare database. J Foot Ankle Surg. 2019;58(1):6ā€“9. https://doi.org/10.1053/j.jfas.2018.03.030. Epub 2018 Sep 19. PubMed PMID: 30243789.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  33. Crall TS. Editorial commentary: Morton forks a knee: magnetic resonance imaging versus needles arthroscopy for knee meniscus tears. Arthroscopy. 2019;35(2):563ā€“5. https://doi.org/10.1016/j.arthro.2018.11.021. PubMed PMID: 30712632.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  34. Amin N, McIntyre L, Carter T, Xerogeanes J, Voigt J. Cost-effectiveness analysis of needle arthroscopy versus magnetic resonance imaging in the diagnosis and treatment of meniscal tears of the knee. Arthroscopy. 2019;35(2):554ā€“562.e13. https://doi.org/10.1016/j.arthro.2018.09.030. PubMed PMID: 30712631.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  35. Chapman GL, Amin NH. The benefits of an in-office arthroscopy in the diagnosis of unresolved knee pain. Case Rep Orthop. 2018;2018:6125676. https://doi.org/10.1155/2018/6125676. eCollection 2018. PubMed PMID: 29992071; PubMed Central PMCID: PMC5827882.

    ArticleĀ  PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  36. Gill TJ, Safran M, Mandelbaum B, Huber B, Gambardella R, Xerogeanes J. A prospective, blinded, multicenter clinical trial to compare the efficacy, accuracy, and safety of in-office diagnostic arthroscopy with magnetic resonance imaging and surgical diagnostic arthroscopy. Arthroscopy. 2018;34(8):2429ā€“35. https://doi.org/10.1016/j.arthro.2018.03.010. Epub 2018 May 24. PubMed PMID: 29804955.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  37. Deirmengian CA, Dines JS, Vernace JV, Schwartz MS, Creighton RA, Gladstone JN. Use of a small-bore needle arthroscope to diagnose intra-articular knee pathology: comparison with magnetic resonance imaging. Am J Orthop (Belle Mead NJ). 2018;47(2). https://doi.org/10.12788/ajo.2018.0007. PubMed PMID: 29494711.

  38. Cooper DE. Editorial commentary: the desire to take a look: surgeons and patients must weigh the benefits and costs of in-office needle arthroscopy versus magnetic resonance imaging. Arthroscopy. 2018;34(8):2436ā€“7. https://doi.org/10.1016/j.arthro.2018.06.002. PubMed PMID: 30077266.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  39. Lubberts B, Guss D, Vopat BG, Johnson AH, van Dijk CN, Lee H, DiGiovanni CW. The arthroscopic syndesmotic assessment tool can differentiate between stable and unstable ankle syndesmoses. Knee Surg Sports Traumatol Arthrosc. 2018;28:193. https://doi.org/10.1007/s00167-018-5229-3. [Epub ahead of print]. PubMed PMID: 30367196.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

  40. Dalmau-Pastor M, Malagelada F, Kerkhoffs GM, Karlsson J, Guelfi M, Vega J. Redefining anterior ankle arthroscopic anatomy: medial and lateral ankle collateral ligaments are visible through dorsiflexion and non-distraction anterior ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2019;28:18. https://doi.org/10.1007/s00167-019-05603-2. [Epub ahead of print]. PubMed PMID: 31292688.

    ArticleĀ  PubMedĀ  Google ScholarĀ 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniƫl Haverkamp .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

Ā© 2020 ESSKA

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Haverkamp, D. (2020). An Update on Ankle Arthroscopy: Current Evidence and Practical Recommendations for 2020. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-61264-4_18

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61263-7

  • Online ISBN: 978-3-662-61264-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics