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Arthroscopic Taloplasty for an Anterolateral Snapping Ankle

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1 Arthroscopic Taloplasty for an Anterolateral Snapping Ankle
Tun Hing Lui, M.B.B.S.(HK), F.R.C.S.(Edin), F.H.K.A.M., F.H.K.C.O.S.  Arthroscopy Techniques  Volume 5, Issue 6, Pages e1287-e1290 (December 2016) DOI: /j.eats Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2 Fig 1 Arthroscopic taloplasty of the right foot. Ankle arthroscopy is performed via the anteromedial (AMP) and anterolateral (ALP) portals, which are medial to the tibialis anterior tendon and lateral to the peroneus tertius tendon respectively. Arthroscopy Techniques 2016 5, e1287-e1290DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3 Fig 2 Arthroscopic taloplasty of the right foot. The anteromedial and anterolateral portals are used as the viewing portal. The ankle joint is assessed arthroscopically. (DDL, deep deltoid ligament; MM, medial malleolus; S, distal tibiofibular syndesmosis; TP, tibial plafond.) Arthroscopy Techniques 2016 5, e1287-e1290DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4 Fig 3 Arthroscopic taloplasty of the right foot. The anteromedial portal is the viewing portal. The anterior ankle capsule (C) is stripped from the talar neck (TN) by an arthroscopic shaver (AS). Arthroscopy Techniques 2016 5, e1287-e1290DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5 Fig 4 Arthroscopic taloplasty of the right foot. The anteromedial portal is the viewing portal. The dorsolateral prominence of the talar head (TH) can be resected by an arthroscopic acromionizer via anterolateral portal. (TP, tibial plafond.) Arthroscopy Techniques 2016 5, e1287-e1290DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6 Fig 5 Arthroscopic taloplasty of the right foot. The anterolateral portal is the viewing portal. After completion of arthroscopic taloplasty, the dorsal prominence of the talar head (TH) is resected, leaving a flat surface (star). Arthroscopy Techniques 2016 5, e1287-e1290DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

7 Fig 6 Arthroscopic taloplasty of the right foot. (A) Preoperative lateral radiograph of the right foot of the illustrated case shows dorsal prominence of the talar head (arrowhead). (B) Postoperative radiograph shows the dorsal prominence of the talar head is resected. Arthroscopy Techniques 2016 5, e1287-e1290DOI: ( /j.eats ) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions


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