The fracture table as a distraction mode in ankle arthroscopy

Use of a Pneumatic Limb Positioner for Invasive Skeletal Traction in Posterior Hindfoot Arthroscopy

Posterior hindfoot arthroscopy is a useful tool to treat a variety of foot and ankle pathologies. Skeletal distraction of the hindfoot to increase visualization in posterior ankle arthroscopy has been described in previous studies, but the described distractor is not readily available in most operating rooms. We describe a case of posterior hindfoot distraction in the prone position using a pneumatic limb positioner and other readily available Food and Drug Administration-approved equipment to apply tension to a transcalcaneal wire. The distraction technique we describe does not require any custom equipment, can fit on most standard operating tables, and is readily available in standard operating rooms. This method achieves adequate distraction, resulting in better visualization and more space for arthroscopic instrumentation.

Minimally invasive distraction technique for prone posterior ankle and subtalar arthroscopy

BACKGROUND

Prone ankle and subtalar arthroscopy is challenging in part due to the limited working space in these joints.

MATERIALS AND METHODS

Fourteen patients undergoing prone posterior arthroscopy with a novel skeletal traction method were reviewed and the technique detailed.

RESULTS

No complications were observed in 14 patients treated with a minimally invasive skeletal traction technique for prone ankle and subtalar arthroscopy and 38 patients treated with the same traction device during supine ankle arthroscopy.

CONCLUSION

Minimally invasive skeletal traction can be used safely for prone posterior ankle and subtalar arthroscopy.