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Ankle Arthroscopy for Ankle Fractures
Thomas I. Sherman, M.D., Nick Casscells, M.D., Joe Rabe, B.S., B.A., Francis X. McGuigan, M.D. Arthroscopy Techniques Volume 4, Issue 1, Pages e75-e79 (February 2015) DOI: /j.eats Copyright © 2015 Arthroscopy Association of North America Terms and Conditions
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Fig 1 Intraoperative photograph showing identification of the relevant surface landmarks, including the tibialis anterior tendon (TA) and superficial peroneal nerve (SPN) to which the anteromedial and anterolateral portals should be based medially and laterally, respectively. Arthroscopy Techniques 2015 4, e75-e79DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions
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Fig 2 (A) Intraoperative photograph showing patient positioning with a bump under the ipsilateral hip and a Ferkel thigh holder in place to provide countertraction. (B) After appropriate skin preparation and draping, the noninvasive Guhl ankle distractor is positioned to facilitate atraumatic instrument passage. Arthroscopy Techniques 2015 4, e75-e79DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions
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Fig 3 (A) Anteroposterior and lateral radiographs showing a bimalleolar ankle fracture. (B) An osteochondral lesion (asterisk) measuring 1.4 cm in diameter is visualized from the anteromedial portal on the anterolateral talar dome. (C) The lesion (asterisk) has been debrided to stable edges using arthroscopic curettes and microfracture performed with a pick. Arthroscopy Techniques 2015 4, e75-e79DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions
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Fig 4 (A) The posterior tibialis tendon (star) is identified within the medial malleolar fracture site and is clearly blocking reduction of this fragment as viewed from the anteromedial portal. (B) The posterior tibialis tendon has been reduced from the fracture site arthroscopically. Asterisks indicate the medial tibial plafond. Arthroscopy Techniques 2015 4, e75-e79DOI: ( /j.eats ) Copyright © 2015 Arthroscopy Association of North America Terms and Conditions
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