One‐Stage Posterior‐to‐Anterior Ankle Arthroscopy Using a Single Operative Setup and Patient Repositioning Technique: A Technical Note

This technical note describes a 1‐stage arthroscopic technique for the management of combined posterior and anterior ankle pathology that preserves standard patient positioning while reducing operative time and material costs. The procedure begins with posterior ankle arthroscopy performed in the prone position using standard posterior portals. After treatment of the posterior lesions, the patient is carefully repositioned to the supine position without redraping or changing instrumentation. The same sterile surgical field, operating table, and arthroscopic instruments are maintained throughout the procedure. Anterior ankle arthroscopy is then performed using standard anterior portals. Strict coordination between the surgical and anesthesia teams ensures safe patient repositioning while preserving sterility. This 1‐stage technique allows arthroscopic treatment of combined anterior and posterior ankle pathology using familiar prone and supine positioning. By avoiding redraping and the use of duplicate sterile instrumentation, it optimizes surgical workflow, reduces operative time, and decreases material costs while providing a reproducible approach.