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Updated: May 21, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Complications in ankle arthroscopy
Maartje Zengerink1, C Niek van Dijk
1Department of Orthopaedic Surgery, Academic Medical Centre, University of Amsterdam, PO Box 22700, 1100 DD, Amsterdam, The Netherlands. m.zengerink@amc.uva.nl
Summary
Ankle arthroscopy complications occurred at a 3.5% rate, significantly lower than previously reported. Age is a risk factor, but most complications were temporary and did not cause lasting issues.
Area of Science:
- Orthopedic surgery
- Minimally invasive procedures
- Patient safety
Background:
- Ankle arthroscopy is a common procedure for diagnosing and treating various ankle conditions.
- Understanding complication rates is crucial for patient safety and procedural refinement.
Purpose of the Study:
- To determine the complication rate associated with ankle arthroscopy.
- To compare complication rates between anterior and posterior approaches.
- To identify risk factors for complications.
Main Methods:
- A retrospective review of 1,305 consecutive ankle arthroscopy procedures performed between 1987 and 2006.
- Analysis of data from a prospective national registration system, patient records, and operative reports.
- Clinical examination of patients who experienced complications.
Main Results:
- An overall complication rate of 3.5% was observed.
- Neurological complications (1.9%) were primarily linked to portal placement.
- Advanced age was identified as a significant risk factor for complications.
- The majority of complications were transient, resolving within six months without functional limitations.
Conclusions:
- The observed complication rate of 3.5% is substantially lower than the 10.3% reported in existing literature.
- The dorsiflexion method for anterior ankle arthroscopy appears to reduce complication incidence.
- Posterior ankle arthroscopy using a two-portal hindfoot approach is a safe procedure with favorable complication rates compared to the anterior approach.
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