The Role of Arthroscopy After Total Ankle Replacement

Lawrence DiDomenico; John A Martucci; Samantha A Miner

doi:10.1016/j.cpm.2023.03.003

The Role of Arthroscopy After Total Ankle Replacement

Clin Podiatr Med Surg. 2023 Jul;40(3):509-518. doi: 10.1016/j.cpm.2023.03.003. Epub 2023 May 3.

Authors

Lawrence DiDomenico¹, John A Martucci², Samantha A Miner³

Affiliations

¹ Reconstructive Rearfoot and Ankle Fellowship, NOMS Ankle and Foot Care Center, 8175 Market Street, Youngstown, OH 44512, USA; East Liverpool City Hospital Residency Program, East Liverpool, OH, USA. Electronic address: LD5353@aol.com.
² Reconstructive Rearfoot and Ankle Fellowship, NOMS Ankle and Foot Care Center, 8175 Market Street, Youngstown, OH 44512, USA.
³ Reconstructive Foot and Ankle Fellowship, Coordinated Health/Lehigh Valley Health Network, 2774 Schoenersville Road, Bethlehem, PA 18017, USA.

PMID: 37236687
DOI: 10.1016/j.cpm.2023.03.003

Abstract

Alongside advances and trends in foot and ankle surgery, arthroscopy provides a minimally invasive option in exploring and addressing pain after total ankle replacement (TAR). It is not uncommon for patients to develop pain months or even years after TAR implantation for both fixed and mobile-bearing designs. Arthroscopic debridement of gutter pain can provide successful outcomes in the hands of the experienced arthroscopist. Surgeon preference and experience will dictate the threshold for intervention, approach, and tool selection. This article provides a brief look into the background, indications, technique, limitations, and outcomes for arthroscopy after TAR.

Keywords: Arthroscopy; Gutter pain; Impingement; TAR; Total ankle arthroplasty.

Publication types

Review

MeSH terms

Ankle Joint / surgery
Arthroplasty, Replacement, Ankle* / adverse effects
Arthroplasty, Replacement, Ankle* / methods
Arthroscopy / methods
Debridement / methods
Humans
Pain / surgery