Peter A. J. de Leeuw

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This review article provides a current concepts overview of osteochondral defects of the talus, with special emphasis on treatment options, their indications and future developments. Osteochondral defects of the talar dome are mostly caused by a traumatic event. They may lead to deep ankle pain on weight-bearing, prolonged swelling, diminished range of(More)
We present a 3-portal approach for arthroscopic subtalar arthrodesis with the patient in the prone position. The prone position allows the use of the two standard posterior portals and it allows for accurate control of hindfoot alignment during surgery. Furthermore, the introduction of talocalcaneal lag screws is easy with the patient in this position. In(More)
Any operative intervention consists of two elements: the approach and the actual procedure itself. The actual procedure can be practised on sawbones or joint models [8], but the approach is mostly practised on patients. The learning curve for the approach is steep. In the past, surgeons made wide exposures and thus practised their anatomical skills on a(More)
We have read the article ‘‘Treatment of anterolateral impingements of the ankle joint by arthroscopy’’ by A.-H.M. Hassan with interest, care and appreciation [1]. One of the questions in this publication is whether anterior ankle arthroscopy can routinely be performed without joint distraction. He states that in patients with anterior ankle soft tissue(More)
OBJECTIVE To review the literature concerning articles evaluating the delayed operative treatment of isolated syndesmotic instability. MATERIAL AND METHODS The main databases Pubmed/Medline, Cochrane Database of Systematic Reviews, Cochrane Clinical Trial Register, Current Controlled Trials and Embase were searched from 1988 to September 2008 to identify(More)
The paradigm of coping with sometimes gross pathology, while having some small and at first sight insignificant lesions demands for accurate radiological detection and orthopaedic treatment makes it interesting and challenging to be involved in the treatment of professional athletes. In the diagnostic process we differentiate between acute, posttraumatic(More)
Anterior ankle arthroscopy can basically be performed by two different methods; the dorsiflexion- or distraction method. The objective of this study was to determine the size of the anterior working area for both the dorsiflexion and distraction method. The anterior working area is anteriorly limited by the overlying anatomy which includes the neurovascular(More)
BACKGROUND The surgical treatment of posterior ankle impingement is associated with a high rate of complications and a substantial time to recover. An endoscopic approach to the posterior ankle (hindfoot endoscopy) may lack these disadvantages. We hypothesized that hindfoot endoscopy causes less morbidity and facilitates a quick recovery compared with open(More)
Ankle arthroscopy provides the surgeon with a minimally invasive treatment option for a wide variety of indications such as impingement, osteochondral defects, loose bodies, ossicles, synovitis, adhesions, and instability. Posterior ankle pathology can be treated using endoscopic hindfoot portals. These posteromedial and lateral hindfoot portals provide(More)
We report a 13-year-old soccer player with osteonecrosis of the talus and a large carticular fragment. The defect was revitalized with curettage and drilling and filled with autologous bone graft followed by the fixation of the carticular fragment with two conventional lag screws. Screw placement was such that they could be removed arthroscopically. Healing(More)