The Orthobullets Podcast Foot & Ankle | Ankle Arthroscopy
Jan 9, 2026
Dive into the world of ankle arthroscopy with a breakdown of various surgical portals. Discover key indications for procedures, including loose body removal and os trigonum issues. Learn about the risks linked to specific portals and how to avoid complications like nerve injuries and synovial fistulas. The discussions also cover the implications of nerve variability and suggest best practices to ensure patient safety. Engaging insights make this a must-listen for those interested in foot and ankle surgery.
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Safe Scope Insertion And Initial Portal
- Use the nick-and-spread technique for scope insertion to minimize neurovascular injury when creating portals.
- Establish the anteromedial portal first as the primary viewing portal for the anteromedial joint.
Portal Landmarks And Vascular Caution
- For anterolateral portal placement, identify and mark the superficial peroneal nerve and peroneus tertius to avoid nerve injury.
- Avoid the anterocentral portal unless necessary because it risks the dorsalis pedis artery.
Posterior Portal Placement
- Use posterolateral and posteromedial portals for posterior access to an os trigonum while respecting Achilles and peroneal tendon relations.
- Place posterolateral portal ~2 cm proximal to lateral malleolus and posteromedial just medial to Achilles.