Abstract
Ankle dorsiflexion arthroscopic technique with distraction at a surgeon’s discretion
is the current standard for ankle arthroscopy in most parts of the world. Reasons
favoring the use of dorsiflexion during anterior ankle arthroscopy are based on the
insertion of the anterior ankle joint capsule, which happens at a distance from the
articular surfaces: this allows a large and safe anterior working area during dorsiflexion;
ankle dorsiflexion also reduces the tension of anterior neurovascular structures and
moves them away from the anterior aspect of the ankle, which protects them from damage
during performance of the arthroscopic procedure; in addition, a lower rate of complications
has been reported when dorsiflexion without distraction is being used for ankle arthroscopy.
Nevertheless, intermittent ankle distraction can still be used during ankle arthroscopic
procedures, but with just a few indications. In this infographic, authors explore
and present the current indications for distraction in ankle arthroscopy as well as
the broader indications for performing ankle dorsiflexion arthroscopic technique.
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Article info
Publication history
Accepted:
October 14,
2019
Received:
October 14,
2019
Footnotes
The authors report no conflicts of interest in the authorship and publication of this article. Full ICMJE author disclosure forms are available for this article online, as supplementary material.
Identification
Copyright
© 2019 by the Arthroscopy Association of North America
