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Updated: May 26, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Complications associated with foot and ankle arthroscopy
David F Deng1, Graham A Hamilton, Michael Lee
1Kaiser Permanente San Francisco Bay Area Foot and Ankle Residency Program, Kaiser Permanente Medical Center, Oakland, CA, USA.
Summary
Foot and ankle arthroscopy is a valuable tool, with complications like nerve injury and infection occurring in 7.69% of procedures. These complication rates are comparable to existing literature, indicating safety in current practice.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
Background:
- Foot and ankle arthroscopy is an increasingly utilized diagnostic and treatment modality.
- Understanding associated complications is crucial as indications expand.
Purpose of the Study:
- To review and analyze complications associated with foot and ankle arthroscopic procedures.
- To identify potential predictive factors for these complications.
Main Methods:
- Retrospective review of 260 foot and ankle arthroscopic procedures (246 ankle, 14 posterior subtalar) from 390 patients (2005-2008).
- Analysis of patient demographics, preoperative findings, intraoperative techniques, and postoperative outcomes.
- Evaluation for statistically significant predictors of complications.
Main Results:
- Overall complication rate was 7.69% (20 cases), consistent with published data.
- Most common complications included cutaneous nerve injury (3.46%, predominantly superficial peroneal nerve) and superficial infection (3.08%).
- No significant predictive factors for complications were identified; combined procedures showed a trend toward higher rates.
Conclusions:
- Foot and ankle arthroscopy demonstrates a complication profile comparable to previous studies.
- Cutaneous nerve injury and superficial infection are the primary concerns.
- The procedure appears safe with appropriate management, though further investigation into combined procedures may be warranted.
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