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Updated: May 23, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Ankle arthroscopy procedural complexity is correlated with early postoperative complication risk
Cole Herbel1, Ramiro Lopez2, Jonathan Arias3
1Department of Orthopaedic Surgery, Mayo Clinic, Jacksonville, USA. cole.herbel@gmail.com.
Summary
Ankle arthroscopy (AA) with multiple procedures increases complication risk, primarily nerve-related injuries. Minimizing concurrent procedures and careful portal selection can reduce these risks.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
- Patient Safety
Background:
- Complex ankle arthroscopy (AA) risks are not well-defined.
- Understanding complications is crucial for patient outcomes.
Purpose of the Study:
- Examine AA complication frequency.
- Correlate complications with procedural complexity (number of concurrent procedures).
- Evaluate potential confounding factors like comorbidities, patient positioning, and operative details.
Main Methods:
- Retrospective chart review of 177 ankle arthroscopies over 10 years.
- Analysis of operative records to document complications.
- Categorization into isolated AA and multi-procedure AA groups.
Main Results:
- Overall complication rate was 11.3% (20/177), with 13 nerve-related injuries.
- Multi-procedure AA had a significantly higher complication risk (p=0.039).
- Tourniquet use in multi-procedure AA and combined anterior/posterior portals in isolated AA correlated with complications.
Conclusions:
- Procedural complexity, indicated by multiple concurrent procedures, increases early postoperative complication risk in AA.
- Nerve-related injuries are the most common complication.
- Careful technique, portal placement, and limiting concurrent procedures are key to minimizing AA complications.
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