Arthroscopic Debridement and Microfracture of Osteochondral Lesion of the Talar Head

Publication date: Available online 11 September 2019Source: Arthroscopy TechniquesAuthor(s): Yue Ting Ophelia Wan, Tun Hing LuiAbstractOsteochondral lesions of the talar head can be classified into 4 types according to their location. A type 1 lesion is located at the anterior part of the talar head. Surgical debridement and microfracture are indicated for symptomatic type 1 lesions if conservative treatment fails to relieve the pain. The purpose of this technical note was to describe the details of arthroscopic debridement and microfracture of the symptomatic type 1 osteochondral lesion of the talar head and the kissing lesion at the navicular bone. The procedure is performed through the standard portals of talonavicular arthroscopy and has the advantages of minimally invasive surgery of better cosmetic results and less surgical trauma.
Source: Arthroscopy Techniques - Category: Surgery Source Type: research

Related Links:

We read with great interest the article entitled “Arthroscopic Reduction and Minimally Invasive Surgery in Supination-External Rotation Ankle Fractures: A Comparative Study With Open Reduction” by Chiang et al.1 in a recent issue of the journal. We agree that arthroscopic reduction and minimally invasive surgery (ARMIS) could achieve superior surgical outcomes with a shorter postoperative stay and lower incidence of complications compared with open reduction–internal fixation (ORIF). In addition, regarding early postoperative pain, we wish to share our point of view with regard to the statistical analysis.
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research
This study compares the short-term clinical and radiographic outcome between conventional and minimally invasive posterior approaches in total hip arthroplasty. Study Design &Methods We conducted a prospective, comparative pilot study containing 30 patients who underwent primary total hip arthroplasty between January 2017 and May 2017, 15 of them were operated through a conventional posterior approach and the other 15 were operated upon using a minimally invasive posterior approach. The exclusion criteria were severe protrusio or acetabular dysplasia as well as severe obesity (more than 120 kg body weight or a body m...
Source: Journal of Arthroscopy and Joint Surgery - Category: Orthopaedics Source Type: research
Publication date: Available online 19 September 2019Source: Arthroscopy TechniquesAuthor(s): Kai Man Chu, Tun Hing LuiAbstractSubfibular impingement is a common cause of lateral heel pain after calcaneal fracture. It can be caused by calcaneofibular impingement, peroneal impingement, or a combination thereof. It may not be easy to differentiate bony impingement from soft-tissue impingement. Simultaneous lateral calcaneal ostectomy and peroneal tendon decompression may increase the chance of pain relief. The purpose of this Technical Note was to report the technical details of endoscopic lateral calcaneal ostectomy and pero...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 12 September 2019Source: Arthroscopy TechniquesAuthor(s): Tun Hing Lui, Yue Ting Ophelia WanAbstractOs subfibulare is an ossicle at the tip of the lateral malleolus. The ossicle is sometimes symptomatic and presents with local pain or lateral ankle instability. The purpose of this Technical Note is to describe the details of arthroscopic stabilization of the os subfibulare. It is indicated for symptomatic mechanical lateral ankle instability resulting from an unstable os subfibulare. The technique has the advantages of minimally invasive surgery, evaluation and treatment of concomitant an...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
Publication date: Available online 18 December 2017 Source:Arthroscopy Techniques Author(s): Wilson Wai Shun Hau, Tun Hing Lui, Wai Kit Ngai Post-traumatic peroneal tendon subluxation or dislocation is most commonly due to injury to the superior peroneal retinaculum. Acute repair of the retinaculum is an option for active athletes who desire quick return of sport activity. In general, conventional open surgeries require extensive exposure of the injured superficial peroneal retinaculum and have potential risks of scar formation, sural nerve injury, limited range of movement, peroneal tendon re-subluxation, and tendon irri...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
This report describes a case of nonunion of an anterior inferior iliac spine (AIIS) apophyseal avulsion fracture with resultant subspine impingement combined with symptomatic femoroacetabular impingement (FAI). A 16-year-old male soccer player presented with a 6-month history of right groin pain exacerbated by kicking and running. The patient was diagnosed with a displaced nonunion of the AIIS apophysis avulsion fracture causing secondary extra-articular impingement beyond cam-type FAI by physical examination and radiological findings. The authors performed arthroscopic AIIS decompression, with concurrent FAI correction an...
Source: Orthopedics - Category: Orthopaedics Authors: Tags: Orthopedics Source Type: research
CONCLUSIONS: Full-endoscopic assisted ultra-MIS technique is a viable option for lumbar decompressive surgery in a free-standing, outpatient ambulatory facility. The patient population in this study demonstrates its safety, efficacy, and effectiveness for treatment of various lumbar pathologies. It is particularly relevant that age and obesity are not contra-indications.Key words: Full-endoscopic, minimally invasive spine surgery, postoperative complications, lumbar discectomy, lumbar decompression, lumbar disc herniation, spinal stenosis, endoscopic discectomy, ultra-MIS, arthroscopic. PMID: 28158159 [PubMed - in process]
Source: Pain Physician - Category: Anesthesiology Authors: Tags: Pain Physician Source Type: research
Publication date: Available online 14 November 2016 Source:Arthroscopy Techniques Author(s): Tun Hing Lui Arthrodesis of the interphalangeal joint of the thumb is an effective treatment for pain, deformity, or instability at the joint. Arthroscopic interphalangeal arthrodesis of the thumb is a minimally invasive surgery and has better cosmetic results and less surgical trauma as compared with the open approaches. The purpose of this technical note is to report the details of the arthroscopic interphalangeal arthrodesis with oblique placement of the headless screw. No traction device is used for this technique. It is indic...
Source: Arthroscopy Techniques - Category: Surgery Source Type: research
CONCLUSIONS: When patients are asked a general question, whether they suffer from any complications, they tend to underreport the presence of such complications. Complete and comprehensive interviews of the patient may give us a better understanding of the true incidence of complications.
Source: Orthopaedic Nursing - Category: Nursing Tags: Research Source Type: research
Authors: Phorkhar T, Chanlalit C Abstract BACKGROUND: Modern surgery as elbow arthroscopic surgery is an accepted operation due to benefit in precise intra-articular lesion detection and minimally invasive surgery. OBJECTIVE: To report the functional results when using arthroscopic surgery to treat chronic lateral elbow pain. MATERIAL AND METHOD: The data was collected from 25 patients with chronic lateral elbow pain that failed in non-operative treatment and treated with elbow arthroscopic surgery. Five patients were excluded from this study due to diagnosed as instability that needed the ligament reconstr...
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - Category: Journals (General) Tags: J Med Assoc Thai Source Type: research
More News: Arthroscopy | Minimally Invasive Surgery | Pain | Surgery