TY - JOUR T1 - Clinical Outcome of Arthroscopic Treatment of Anterior Ankle Pathologies AU - Tuncer, Kutsi AU - Köse, Mehmet AU - Topal, Murat AU - Şenocak, Eyüp AU - Yıldırım, Ömer Selim PY - 2019 DA - August DO - 10.19127/mbsjohs.534920 JF - Middle Black Sea Journal of Health Science JO - Mid Blac Sea J Health Sci PB - Ordu University WT - DergiPark SN - 2149-7796 SP - 54 EP - 62 VL - 5 IS - 2 LA - en AB - Objective: The ankles that are the main organs cause standingover the earth can be damaged by different reasons. The ankles become painfulwith the problems like impingement syndrome that is soft tissue hipertrofies,osteochondral defects that is cartilage damages, traumatic or degenerativearthropaties, intraarticular tumoral tissues and some problems like that. Thesepainful ankles can be treated with conservative methods. If it is impossible totreat painful ankles with conservative way it can be treated by minimalinvasive ankle arthroscopy that is cheaper and much more satisfied, oftreatment. Methods: We aim to evaluate theresults and effectiveness of arthroscopic treatment of the patient who has theforefoot disorders. Also, we hope to compare the advantages, difficulties andprobable complications of the arthroscopic treatment according to conservativetherapy and to investigate the factors that can effect the clinical results.The 40 patients who were practiced and operated with ankle arthroscopy who wasfollowed at least one year were compared statistically with pre-op and post-opcondition. By this way the effectiveness of arthroscopy for the patients whohave anterior ankle problems was determined and the main factors that effectthe results were investigated. According to the result of statistical analysespreop and postop AOFAS and NPS score avarages were found clear different toeach other. Results: The ankle arthroscopy thatis practised by experienced surgeons with an appropriate procedure after a goodclinical practise and a proper indication causes a high patient satisfactionand it causes less and temporary complications. Because of all these reasons webelieve that the ankle arthroscopy can be practised by the appropriate surgeonto the appropriate patient population. Conclusion: We believe that the outcomes of ankle arthroscopyperformed properly by experienced hands after determining the patientpopulation who were accurately diagnosed by careful clinical examination andnecessary imaging methods are greatly satisfactory, and the acceptability ishigh thanks to complications being less and usually transient. KW - ankle arthroscopy KW - ankle pathologies KW - anterolateral impingement KW - osteochondral defect KW - ankle arthrosis CR - Aydin A.T, Gokkus K: Ankle arthroscopy: indication and technique, Journal of TOTBİD; 2013; 12: p. 134-141. CR - Aydin AT. Ankle arthroscopy (Indications, diagnostic and surgical arthroscopy), Acta Orthop Traumatol Turc 1996; 30: p. 470-483. Aydin AT, Ankle arthroscopy. In: Aydin AT, Editor. Ankle arthroscopy. Antalya: Orkun Ozan Media Services INC. 2009; p. 42-44. CR - Aydin AT. Diagnostic and operative arthroscopy of the ankle. 1 st. Turkish Sports Traumatology, Arthroscopy and Knee Surgery Congress, İstanbul-Turkey:1991, 25-28 . Ferkel RD, Heath DD, Guhl JF. Neurological complications of ankle arthroscopy. Arthroscopy. 1996; 12: p. 200-208. CR - Ferkel RD, Small HN, Gittins JE. Complications in foot and ankle arthroscopy. Clin Orthop Relat Res 2001; 391: p. 89–104. Glazebrook MA, Ganapathy V, Bridge MA, Stone JW, Allard JP. Evidence-based indications for ankle arthroscopy. Arthroscopy. 2009; 25: p. 1478-90. CR - Lawrence AD, Albert AG. Current concepts in ankle arthroscopy. Podiatry today. 2011; 24(4): p:54-61. CR - Pinar H, Aydinok HC, Altunan AK: Arthroscopy of the cadaver ankle. Acta Orthop traum Turcic 1989; 23: p. 317-321. CR - Smith TO, Hing CB. The efficacy of the tourniquet in foot and ankle surgery? A systematic review and meta-analysis. Foot Ankle Surg. 2010; 16: p. 3-8. CR - Son KH, Cho JH, Lee JW, Kwack KS, Han SH. Is the anterior tibial artery safe during ankle arthroscopy?: Anatomic analysis of the anterior tibial artery at the ankle joint by magnetic resonance imaging. Am J Sports Med 2011; 39: p. 2452– 56 CR - Tecimer T, Yedek I, Bilgic E, Zaim E, Kılıckap C: Use tourniquet in extremity surgery, Acta Orthop Traumatol Turc 1995; 29: p. 172-176. CR - Tosun H.B, Yılmaz E. The Results of microfracture method in the treatment of osteochondral lesions of the talus. Fırat Medical Journal 2009; 14(3): p. 175-180 CR - Zaidi R, Hasan K, Sharma A, Cullen N, Singh D, Goldberg A. Ankle arthroscopy: a study of tourniquet versus no tourniquet: Foot Ankle Int. 2014; 35: p. 478-82. CR - Zengerink M, van Dijk CN. Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2012; 20: p. 1420-31. UR - https://doi.org/10.19127/mbsjohs.534920 L1 - https://dergipark.org.tr/en/download/article-file/795590 ER -