By Ned Amendola

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Additional resources for AANA Advanced Arthroscopy. The Foot and Ankle

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Through controlled methods, specific amounts of distraction can be applied and maintained with ease. The most common means of controlled distraction is to use one of the many commercially available, sterile foot straps and attach the sling Chapter 3 Instrumentation and Operative Setup for Ankle and Subtalar Arthroscopy 21 FIGURE 3-6 The most common means of controlled distraction uses one of the many commercially available sterile foot straps and attaches the sling to a tensioning device. A B FIGURE 3-5 To achieve semicontrolled distraction, a small loop is tied in the center of a Kerlix gauze roll.

Arthroscopy. 1992;8:469-473. Dowdy PA, Watson BV, Amendola A, Brown JD. Noninvasive ankle distraction: relationship between force, magnitude of distraction, and nerve conduction abnormalities. Arthroscopy. 1996;12:64-69. Boynton MD, Parisien JS, Guhl JF, Vetter CS. Setup, distraction, and instrumentation. In: Guhl JF, Parisien JS, Boynton MD, eds. Foot and Ankle Arthroscopy. 3rd ed. New York, NY: Springer-Verlag; 2004. Palladino SJ. Distraction systems for ankle arthroscopy. Clin Podiatr Med Surg.

These anatomic constraints make arthroscopy of the ankle joint more difficult than in larger joints such as the knee and shoulder. Early attempts to perform arthroscopy of the ankle joint were met with various degrees of success. 2-4 Since then, two technical advances have facilitated routine performance of ankle arthroscopy for diagnosis and surgical procedures. First, the development of high-quality, small-diameter arthroscopes has allowed instrumentation of the ankle with increased ability to visualize the entire joint while decreasing the likelihood of iatrogenic articular cartilage injury.

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