Çağatay ZENGİN, Ali GÜLMAN, Ahmet PİŞKİN

Ankle arthroscopy: Short-term outcome in ten consecutive patients

Fifteen ankle arthroscopies performed between 2005 and 2012 were analyzed to evaluate the risks and benefits of the procedure. All arthroscopies were performed by one surgeon using the same nonskeletal traction technique. Ten of the fifteen patients were succeed to reach to the follow up. Average follow-up was 22.65 months (range: 6-88). There were 8 males and 2 females patients. Average age was 45 (range: 34-66) years. The duration of preoperative symptoms averaged 40 (range: 5-120) months. Preoperative clinical and radiographic examination was performed. At the closing follow-up, clinical examination, visual analog scores and X rays were repeated. The diagnosis was osteochondral lesions of the talus in five patients, anterior bony impingement in 3, and soft tissue impingement or synovitis in 2. Overall, in seven patients (70%) the operative results were good; eight patients (80%) were satisfied by the procedure. Those patients who had been diagnosed with diffuse synovitis or posttraumatic chondromalacia had poor results, whereas patients with a localized osteochondral lesion of the talus, or localized bony or soft tissue impingement experienced the best results. There were no complications from ankle arthroscopy in this series. Ankle arthroscopy appears to be a relatively low-risk procedure with substantial benefits, particularly in localized disease of the ankle joint.

Keywords:

Ankle, Arthroscopy Joint diseases, Osteochondral lesions, Subjective visual analog scale,

PDF

___

Aydın, A.T., 1996. Anterolateral yumuşak doku sıkışması nedeniyle devamlı ayak bileği ağrısının artroskopik cerrahi tedavisi. Acta Orthop. Traumatol. 30, 504-507.
Baker, C.L. Jr., Morales, R.W., 1999. Arthroscopic treatment of transchondral talar dome fractures: A long-term follow up study. Arthroscopy. 15, 197-202.
Brennan, S.A., Rahim, F., Dowling, J., Kearns, S.R., 2012. Arthroscopic debridement for soft tissue ankle impingement. Irish. J. Med. Sci. 181, 253-256.
Cuttica, D.J., Smith, W.B., Hyer, C.F., Philbin, T.M., Berlet, G.C., 2012. Arthroscopic treatment of osteochondral lesions of the tibial plafond. Foot Ankle Int. 33, 662-668.
Drez, D., Guhi, J.F., Gollehon, D.L., 1981. Ankle arthroscopy: Technique and indications. Foot Ankle Int. 2, 138-143.
Ferkel, R.D., Fischer, S.P., 1989. Progress in ankle arthroscopy. Clin. Orthop. Relat. R. 240, 210-220.
Flandry, F., Hunt, J.P., Terry, G.C., Hughston, J.C., 1991. Analysis of subjective knee complaints using visual analog scales. Am. J. Sport Med. 19, 112-118.
Guhl, J.F., 1986. New techniques for arthroscopic surgery of the ankle: Preliminary report. Orthopedics. 9, 261-270.
Martin, D.F., Curl, W.W., Baker, C.L., 1989. Arthroscopic treatment of chronic synovitis of the ankle. Arthroscopy. 2, 110-114.
Ogilvie-Harris, D.J., Sarrosa, E.A., 2000. Arthroscopic treatment of posttraumatic cysts of the talus. Arthroscopy. 16, 197-201.
Ogilvie-Harris, D.J, Gilbart, M.K., Chorney, K., 1997. Chronic pain following ankle sprains in athletes: The role of arthroscopic surgery. Ar- throscopy. 13, 564-574.
Parisien, J.S., Vangsness, T., 1981. The role of arthroscopy in the diagnosis and treatment of disorders of the ankle. Foot Ankle. Int. 2, 144- 149.
Suzangar, M., Rosenfeld, P., 2012. Ankle arthroscopy: Is preoperative marking of the superficial peroneal nerve important? J. Foot Ankle Surg. 51, 179-181.
Tuzuner, S., Aydin, A.T., 1998. Arthroscopic removal of an osteoid osteoma at the talar neck. Arthroscopy. 14, 405-409.
Van Dijk, C.N., Scholte D., 1997. Arthroscopy of the ankle joint. Arthroscopy. 13, 90-96.
Wu, W.T., Chen, Z.W., Zhou, Y.C., 2012. Clinical application of arthroscopy in the diagnosis and treatment of anterior impingement syndrome of the ankle joint in physical workers. Saudi Med. J. 33, 1087-1092.