Welcome to ICL360, a cutting-edge CME course designed to provide a holistic learning experience. Immerse yourself in curated video content sourced from the AAOS Annual Meeting, featuring expert-selected ICL lectures. Enhance your understanding with insightful commentary and comprehensive assessment questions. This all-encompassing course goes beyond traditional learning by offering a complete 360° perspective on orthopedic topics. Explore additional resources, including full-text readings from the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), technique videos from Orthopaedic Video Theater (OVT), and links to external literature and PubMed. Elevate your clinical decision-making skills and gain a well-rounded understanding of essential orthopedic concepts with ICL360.
This Instructional Course Lecture reviews foot and ankle arthroscopy, highlighting important advancements in surgical techniques and the broadening scope of applications in recent years. From anterior and posterior ankle arthroscopy to the nuanced nature of peroneal tendoscopy and flexor hallucis longus (FHL), hindfoot, and small joint arthroscopy, this lecture explains various procedures to manage traumatic, degenerative, inflammatory, and neoplastic conditions. The lecture explains the evolution of ankle arthroscopy, attributing enhancements to improved instrumentation and surgical methods, which have resulted in broadened indications. Emphasizing a deep dive into the anatomy, techniques, indications, and potential complications associated with these procedures, the lecture provides orthopaedic surgeons with a thorough understanding of current practices while shaping a vision for the future of ankle arthroscopy.
At the conclusion of this course learners should be able to:
- Describe the expanded indications for ankle arthroscopy, including the management of traumatic, degenerative, inflammatory, and neoplastic conditions, to enhance patient outcomes.
- Differentiate between the appropriate use of noninvasive versus invasive distraction devices during ankle arthroscopy to improve visualization of the joint space and facilitate surgical precision.
- Select appropriate arthroscope angles (30° versus 70°) for specific anatomic sites in the foot and ankle to optimize lesion access and treatment efficacy.
- Identify optimal portal placement for anterior, posterior, and small joint arthroscopy to minimize the risk of neurovascular injury and maximize surgical access.
- Implement advanced surgical techniques for peroneal tendoscopy, including portal placement and the management of tenosynovitis and peroneal tendon tears, based on anatomic zones.
- Apply knowledge of flexor hallucis longus tendoscopy indications and techniques for the management of tenosynovitis, stenosis, and hindfoot impingement, using zone-based approaches to manage tendon pathology.
- Assess the utility of subtalar arthroscopy in the management of conditions such as sinus tarsi syndrome, loose bodies, and nonunion, incorporating evidence-based outcomes into clinical practice.
- Integrate first metatarsophalangeal joint arthroscopy and endoscopic calcaneoplasty into treatment plans for patients with select foot conditions, recognizing ideal candidates and surgical advantages.
- Analyze the evolution of ankle arthroscopy techniques and instrumentation to identify potential areas for innovation and research in orthopaedic surgery.
- Evaluate the role of orthobiologics and emerging arthroscopic treatment options in the management of osteochondral lesions, with a focus on improving patient outcomes via advanced therapeutic treatment options.