Ankle Arthroscopy: Techniques Developed by the Amsterdam by C. Niek van Dijk

By C. Niek van Dijk

Ankle accidents are usually game comparable and pose a diagnostic and healing problem. during the last 25 years, Niek van Dijk, founding father of the Amsterdam Foot and Ankle college and writer of this booklet, has built a brand new philosophy of ankle arthroscopy. It involves a finished technique together with a variety of diagnostic ideas and the applying of a couple of minimally invasive endoscopic recommendations. Use of those strategies has unfold in the course of the global; they're now famous because the cutting-edge and feature been used to regard many prime expert athletes. This diagnostic and working handbook offers the Amsterdam Foot and Ankle college strategy for a wide selection of ankle and hindfoot difficulties. transparent step by step directions are supplied with assistance from various high quality illustrations, such a lot of that are in colour. entry to an internet academic website can be to be had to readers.

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Extra info for Ankle Arthroscopy: Techniques Developed by the Amsterdam Foot and Ankle School

Example text

We go straight to the bone and feel comfortable once inside a joint. Our incisions for open procedures get smaller and smaller. The patients like it if their surgical scars are small, but our knowledge of the anatomy thus gets more and more forgotten. Our knowledge dates from anatomy books but anatomy books are not specifically designed for surgical approaches. A session in the cadaver lab can be really helpful to refresh our memories of the surgical anatomy approaches. It is important to know “what is around the corner” especially in cases where an extended or unusual approach is needed.

The combination of history taking, physical examination, and additional diagnostics is sufficient for a proper clinical diagnosis and to decide for the best surgical approach. A diagnostic arthroscopy has no added value. Anterior pathology, like impingement syndromes, ossicles, loose bodies, and anteriorly located osteochondral defects, can be treated by means of an anterior two-portal approach (Van Dijk and Scholte 1997). Posterior ankle pathology can effectively be treated by a two-portal hindfoot approach (Van Dijk et al.

A synovial recess also can be found at the anterior inferior aspect of the talar dome. In this area, anterior talar osteophytes may articulate or butt against osteophytes of the anterior tibial lip (Van Dijk et al. 2008). hallucis longus (FHL) tendon identified. The FHL tendon is an important landmark to prevent damage to the more medially located neurovascular bundle. When manual distraction is applied to the os calcis, the posterior compartment of the ankle joint opens up and can be visualized.

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