The Latest in-Office Needle Arthroscopic Surgeries for Foot and Ankle Pathologies

Abstract

Arthroscopic techniques were first established in the early 20^th century to provide alternative surgical treatment options for orthopedic pathologies. The discoveries and innovations of orthopedic pioneers provided the foundation for what is known today as the modern in-office needle arthroscope. The latest innovative optics in second-generation needle arthroscopes allow enhanced visualization of most joints and tendons and provide a visual platform that can facilitate a variety of surgical techniques. As a result, patients experience excellent clinical outcomes, along with increased satisfaction and greater cost-effectiveness when undergoing such procedures. The purpose of this review is to discuss the history, modern advancements, techniques, clinical outcomes, and cost-benefit analysis of in-office needle arthroscopy.

Figure 1Example positioning for in-office anterior-posterior tibial tendon needle tendoscopy. The surgeon sits at the foot of the surgical bed with an assistant next to the viewing monitor. The assistant has provided permission to publish the image that was obtained.