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The safety profile of a retrospective Accessory Postero-Lateral hind foot portal : the risk of sural nerve damage during visualisation of the Achilles tendon insertion
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Carmont, M. R., Stroud, R., Bjorndalen, H., Crowther, J., Ribbans, W. J. and Griffin, Damian R. (2012) The safety profile of a retrospective Accessory Postero-Lateral hind foot portal : the risk of sural nerve damage during visualisation of the Achilles tendon insertion. Foot and Ankle Surgery, 18 (2). pp. 128-131. doi:10.1016/j.fas.2011.05.006 ISSN 1268-7731.
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Official URL: https://doi.org/10.1016/j.fas.2011.05.006
Abstract
Introduction: The Accessory Postero-Lateral (AccPL) portal has recently been described to improve the visualisation for the endoscopic debridement of Haglund's tubercle. The safety of using this portal has been considered previously for posterior ankle arthroscopy. We performed a study to determine the proximity of the AccPL portal to the sural nerve. Methods: We compared the distances between AccPL and PL portals to the sural nerve in 17 cadaveric specimens. Results: The AccPL portal was significantly closer (mean 12.0. mm, range 6-19. mm, SD. =3.64) to the sural nerve than the PL portal (mean 14.1. mm, range 11-18. mm, SD. =2.34) (t(16). =-2.34, p=0.03). In two cases the sural nerve was in contact with the clip but on close inspection, the nerve had not been damaged in any of the specimens. Conclusions: We conclude that the AccPL portal is a safe method to allow visualisation during endoscopic debridement of the Achilles tendon insertion. We also recommend that the portal is used for visualisation rather than instrumentation. © 2011 European Foot and Ankle Society.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Foot and Ankle Surgery | ||||||
| Publisher: | Elsevier | ||||||
| ISSN: | 1268-7731 | ||||||
| Official Date: | 27 June 2012 | ||||||
| Dates: |
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| Volume: | 18 | ||||||
| Number: | 2 | ||||||
| Page Range: | pp. 128-131 | ||||||
| DOI: | 10.1016/j.fas.2011.05.006 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access |
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