Ankle Arthroscopy

Question 1

What anatomic structures do you need to watch with anteromedial portal approach?

Answer 1

Portal is medial to TA; watch out for saphenous n. and vein, which is medial to the portal.

Question 2

What anatomic structures do you need to watch with anterolateral portal approach?

Answer 2

Portal is lateral to peroneus tertius; watch out for intermediate dorsal cutaneous n.

Question 3

What solution do you want circulating in the joint?

Answer 3

Lactated Ringer’s; has been shown to be better for cartilage, NS has been shown to be damaging to cartilage cells.