Arthroscopy: The Journal of Arthroscopic & Related Surgery
Case ReportVascular Obstruction at the Level of the Ankle Joint as a Complication of Hip Arthroscopy
Section snippets
Case Report
Hip arthroscopy of the right hip of a 27-year-old woman was performed for femoroacetabular cam impingement through the technique used by the senior author for the treatment of femoroacetabular impingement for more than 5 years.10 The patient was placed supine on a standard fracture table. A well-padded counterpost specially designed for hip arthroscopy was used. Both feet were well padded with cotton wool, tightly fixed into the standard leather boots, and additionally secured by a
Discussion
Skin irritations and paresthesia of the ankle and foot have been reported in relation to the tight fixation of the foot in the boot of the traction module after hip arthroscopy.9 To our knowledge, this report is the first on a vascular complication at the ankle and foot area. The cause of vascular interruption of both major arteries at the ankle level remains speculative. It appears likely that compression by fixation of the leather boot was the main reason for this complication. Insufficient
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Cited by (12)
Hip Arthroscopy: Common Problems and Solutions
2018, Clinics in Sports MedicineCitation Excerpt :This site of injury is far from the operative site, often under the surgical drapes, and can easily be overlooked intraoperatively. An overly tight-fitting boot, especially in thin patients, can cause sensation issues in the superficial peroneal nerve distribution, as well as vascular obstruction issues.39,40 The patient’s foot should be well padded, especially around any bony prominences or sites of potential neurovascular compression.
Advanced hip arthroscopy: What’s new?
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2018, ESSKA Instructional Course Lecture Book: Glasgow 2018