Course Lecture Pearls: Foot and Ankle Arthroscopy-Peroneal Subluxation_ How I Repair_Reconstruct_ Is Arthroscopic Approach Enough

Peroneal Subluxation_ How I Repair_Reconstruct_ Is Arthroscopic Approach Enough_-Dr. Eric Giza, M.D.

Video Transcription

Video Summary

The speaker discusses total ankle replacement (TAR) in younger patients, noting age alone isn't a contraindication, with successful cases in patients as young as 31. Studies show no major difference in outcomes below or above age 52. TAR can be appropriate for conditions like rheumatoid arthritis or multiple joint disease. Several case examples illustrate TAR combined with subtalar fusion or other procedures to preserve motion. The speaker also reviews peroneal tendon issues, emphasizing the importance of anatomical knowledge for tendoscopy. MRI and ultrasound have limited predictive value alone, so clinical exam is vital. Tendon subluxations, stenosis, and retinacular tears can be addressed arthroscopically. A detailed technique from Misato Takao for arthroscopic superior peroneal retinacular repairs is described, including portal placement and suture management. The speaker advises preserving the osteoperiosteal covering and cartilaginous rim when needed, likening it to shoulder labrum repair to prevent instability. The talk concludes with encouragement for hands-on lab practice.

Keywords

total ankle replacement

younger patients

peroneal tendon disorders

arthroscopic retinacular repair

clinical examination techniques