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The fracture table as a distraction mode in ankle arthroscopy
E L Manderson1, U R Nwaneri, K B Amin
1Division of Orthopaedic Surgery, District of Columbia General Hospital, Washington.
Foot & Ankle International
|August 1, 1994
Summary
This study presents a novel technique for ankle arthroscopy distraction using a calcaneal Steinmann pin and fracture table. This method provides excellent surgical exposure while avoiding complications associated with distal tibial pins.
Area of Science:
- Orthopedic Surgery
- Arthroscopy Techniques
Background:
- Achieving adequate joint distraction is crucial for successful ankle arthroscopy.
- Traditional methods, such as using a distal tibial pin, can lead to complications like pin site infection or nerve injury.
Purpose of the Study:
- To describe and evaluate a novel technique for obtaining distraction in ankle arthroscopy using a calcaneal pin and a fracture table.
- To highlight the advantages of this method over conventional distraction techniques.
Main Methods:
- A Steinmann pin is inserted transversely into the calcaneus.
- A sterile traction bow connects the calcaneal pin to the traction crank of a fracture table set in hip or tibial nailing mode.
- Traction is applied and adjusted intraoperatively via the fracture table's traction crank.
Main Results:
- This technique allows for adequate distraction and excellent visualization during ankle arthroscopy.
- It avoids the need for a distraction pin through the distal tibia, thereby reducing associated morbidity.
- The procedure is technically straightforward and utilizes familiar equipment for orthopedic surgeons.
Conclusions:
- Distraction using a calcaneal pin and fracture table is an effective and safe alternative for ankle arthroscopy.
- This method offers superior joint exposure and minimizes patient complications.
- It represents a practical advancement in arthroscopic surgical techniques.