May 16, 2023
The use of posterior ankle and hindfoot
arthroscopy (PAHA) has been expanding over time. Many new
indications have been reported in the literature. The primary
objective of this study was to report the rate of PAHA complication
in a large cohort of patients and describe their potential
associations with demographical and surgical variables.
In conclusion, the complication rate in this
cohort that was treated with posterior ankle and/or hindfoot
arthroscopy was 6.8%. Most complications were due to neural
sensorial injuries (sural 5, medial plantar nerve 4, medial
calcaneal nerve 1 ) and 3 required additional operative treatment.
The use of an accessory posterolateral portal was significantly
associated with neurologic complications. The provided information
may assist surgeons in establishing diagnoses, making therapeutic
decisions, and instituting surgical strategies for patients that
might benefit from a posterior arthroscopic approach.
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