2-Mm Diameter Operative Tendoscopy of the Tibialis Posterior, Peroneal, and Achilles Tendons: A Cadaveric Study

Stornebrink, Tobias; Stufkens, Sjoerd A. S.; Appelt, Daniel; Wijdicks, Coen A.; Kerkhoffs, Gino M. M. J.

doi:10.1177/1071100719895504

Cited by 22 publications

(19 citation statements)

References 21 publications

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“…Importantly, IONA had a sensitivity of 86.7% for identifying loose bodies compared to MRI with a sensitivity of 20%. Finally, the nano arthroscopy system used in our report has already been demonstrated to be safe and allow for adequate visualization of important structures around the ankle in cadaveric models (10,11). These articles support our own case report in the use of nano arthroscopy for identification and management of suspected intra-articular loose bodies and lesions of the ankle not visualized on MRI.…”

Section: Discussionsupporting

confidence: 80%

Application of nano arthroscopy in the office setting for the removal of an intra-articular loose osseous body not identified by magnetic resonance imaging: A case report

Dankert

Shimozono

Williamson

et al. 2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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Section: Discussionsupporting

confidence: 80%

Application of nano arthroscopy in the office setting for the removal of an intra-articular loose osseous body not identified by magnetic resonance imaging: A case report

Dankert

Shimozono

Williamson

et al. 2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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“…62 Novel concepts of imaging strategies in the form of an innovative in-office needle arthroscopy may aid in this process as it could improve the visualization of early cartilage damage whilst simultaneously, as well as instantly, performing a preventative treatment. 67,68 Our research, therefore, functions as a stepping stone to the more accurate estimation of prognosis as well as towards the development of a novel preventive treatment option, hereby clearly demonstrating the clinical relevance of our research outcomes.…”

Section: Discussionmentioning

confidence: 59%

Location Distribution of 2,087 Osteochondral Lesions of the Talus

et al. 2020

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Objective The primary aim of this study was to evaluate the exact location distribution in patients with osteochondral lesions of the talus (OLTs) using a 9-grid scheme. The secondary aim is to match lesion location to lesion size, arthroscopic or open operation, and trauma occurrence. Methods A systematic review was performed in the databases PubMed, EMBASE, and Cochrane. Search terms consisted of “talus” and “osteochondral lesion.” Two independent reviewers evaluated search results and conducted the quality assessment using the Methodological Index for Non-Randomized Studies (MINORS). Primary outcome measure was OLT location in the 9 zone-grid. Secondary outcome measures were OLT size in 9-zones, preoperative radiological modality use, demographic lesion size variables as well as open or arthroscopic treatment. Results Fifty-one articles with 2,087 OLTs were included. Heterogeneity concerning methodological nature was observed and methodological quality was low. The posteromedial (28%) and centromedial (31%) zones combined as one location was the location with the highest incidence of OLTs with a rate of 59%. Individual OLT size was reported for only 153 lesions (7%). Preoperative combination of X-ray and magnetic resonance imaging (MRI), and/or computed tomography (CT) was reported in 20 studies (43%). Trauma was reported in 78% of patients. Furthermore, 67% was treated arthroscopically and 76% received primary OLT treatment. Conclusion The majority of OLTs are located in the posteromedial and centromedial zone, while the largest OLTs were reported in the centrocentral zone. Further research is required to identify the prognostic impact of location occurrence on the outcomes following OLT treatment.

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“…The safety and efficacy of this technology was systematically tested in a cadaveric setting, and this fundamental research was translated into a broad clinical portfolio. The results of first studies are promising [1,2]. Cadaveric experience in the ankle is presented in this issue of KSSTA [1].In general, operative needle arthroscopy offers a minimally invasive technique, with a less than 3-mm skin incision that requires only paper suture closure.…”

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confidence: 99%

A change in scope: redefining minimally invasive

Stornebrink

Emanuel

Shimozono

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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The editors of KSSTA recently highlighted the increase in demand for ankle arthroscopy that is expected for the near future [5]. Arthroscopic techniques are increasingly sophisticated and the range of indications for arthroscopy is broadening accordingly. In contrast with these developments, arthroscopic cameras have hardly changed since their first introduction. We still use rod-lens scopes of substantial diameters, making arthroscopy as invasive as it was decades ago: posing risk to neurovascular tissue [3] and cartilage [4] and causing unnecessarily long recovery times. Current innovation in the field of needle arthroscopy might help to better facilitate the pending increase in ankle arthroscopic procedures.In several lab and patient settings, our international collaborative group has been working with a novel needle arthroscopic system (NanoScope™, Arthrex, Naples, FL). With an optic chip at the camera tip and no inner rod-lenses, this semi-rigid scope remains durable at a total diameter of just 1.9-mm, and 2.26 mm including the cannula. Image quality is higher than that of traditional needle arthroscopes, offering a 400 × 400 pixel number with a 120° field of view.In contrast with previous needle arthroscopes, this new system comes with tailored surgical instruments, which introduces the possibility of operative needle arthroscopy. The safety and efficacy of this technology was systematically tested in a cadaveric setting, and this fundamental research was translated into a broad clinical portfolio. The results of first studies are promising [1,2]. Cadaveric experience in the ankle is presented in this issue of KSSTA [1].In general, operative needle arthroscopy offers a minimally invasive technique, with a less than 3-mm skin incision that requires only paper suture closure. This minimal portal footprint reduces local soft-tissue trauma and often obviates the need for any more than a local anaesthetic, both factors expediting patient recovery. Under these circumstances, smaller arthroscopic interventions can become bedside procedures performed in an office setting. Anterior and posterior ankle arthroscopy with debridement of osteophytes and cicatrized tissue is a reproducible technique that lends itself particularly well for operative needle arthroscopy. First metatarsal phalangeal joint limited cheilectomy and evaluation of chondral wear is another facile use. Tendoscopy of the Achilles, peroneal and tibialis posterior tendons is an attractive and simple procedure that can be both diagnostic and therapeutic in nature, allowing easy debridement using 2 and 3-mm shavers and augmenting repairs with biologic delivery systems. Similar ease of access can also be achieved in the knee, shoulder and other joints, where bony and soft-tissue impingement can be identified with clarity and addressed appropriately. Furthermore, clinical experience has confirmed the versatility of this technique as both a bona fide method of performing many therapeutic procedures as well as an augment to diagnostics.The use of operative n...

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2-Mm Diameter Operative Tendoscopy of the Tibialis Posterior, Peroneal, and Achilles Tendons: A Cadaveric Study

Cited by 22 publications

References 21 publications

Application of nano arthroscopy in the office setting for the removal of an intra-articular loose osseous body not identified by magnetic resonance imaging: A case report

Application of nano arthroscopy in the office setting for the removal of an intra-articular loose osseous body not identified by magnetic resonance imaging: A case report

Location Distribution of 2,087 Osteochondral Lesions of the Talus

A change in scope: redefining minimally invasive

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