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Extra resources for AANA Advanced Arthroscopy. The Foot and Ankle
Standard arthroscopic video equipment is adequate for ankle arthroscopy. Although high-definition video equipment provides greater detail and picture quality, no direct effect on patient outcomes has been reported. Rasps. Small rasps are occasionally useful for smoothing bony edges after débridement. Inflow System Gravity inflow from 3-L bags of saline is used for all ankle arthroscopies. The bags are routinely elevated to maximum vertical height of 3 m, and a tourniquet is inflated to 300 mm Hg during the arthroscopy.
Tech Foot Ankle Surg. 2003; 2:122-128. Gavlik JM, Rammelt S, Zwipp H. The use of subtalar arthroscopy in open reduction and internal fixation of intra-articular calcaneal fractures. Injury. 2002; 33:63-71. Gavlik JM, Rammelt S, Zwipp H. Percutaneous, arthroscopically assisted osteosynthesis of calcaneus fractures. Arch Orthop Trauma Surg. 2002; 122:424-428. Jerosch J. Subtalar arthroscopy—indications and surgical technique. Knee Surg Sports Traumatol Arthrosc. 1998; 6:122-128. Lijoi F, Lughi M, Baccarani G.
Bipolar intra-articular cautery facilitates hemostasis when performing the procedure without tourniquet inflation. FIGURE 4-6 Arthroscopic view from the anteromedial portal shows the tip of the medial malleolus, the talus, and the fibers of the deltoid ligament. FIGURE 4-7 Arthroscopic view from the anteromedial portal shows the medial gutter of the right ankle. 30 AANA ADVANCED ARTHROSCOPY: THE FOOT AND ANKLE PITFL TTFL FIGURE 4-8 Arthroscopic view from the anteromedial portal shows the anteromedial dome of the talus in the foreground and the articular surface of the medial malleolus in a right ankle (dry joint).