Clinical Outcome of Arthroscopic Treatment of Anterior Ankle Pathologies

Year 2019, , 54 - 62, 28.08.2019

Kutsi Tuncer , Mehmet Köse , Murat Topal , Eyüp Şenocak Ömer Selim Yıldırım

https://doi.org/10.19127/mbsjohs.534920

Abstract

Objective: The ankles that are the main organs cause standing
over the earth can be damaged by different reasons. The ankles become painful
with the problems like impingement syndrome that is soft tissue hipertrofies,
osteochondral defects that is cartilage damages, traumatic or degenerative
arthropaties, intraarticular tumoral tissues and some problems like that. These
painful ankles can be treated with conservative methods. If it is impossible to
treat painful ankles with conservative way it can be treated by minimal
invasive ankle arthroscopy that is cheaper and much more satisfied, of
treatment.

Methods: We aim to evaluate the
results and effectiveness of arthroscopic treatment of the patient who has the
forefoot disorders. Also, we hope to compare the advantages, difficulties and
probable complications of the arthroscopic treatment according to conservative
therapy and to investigate the factors that can effect the clinical results.
The 40 patients who were practiced and operated with ankle arthroscopy who was
followed at least one year were compared statistically with pre-op and post-op
condition. By this way the effectiveness of arthroscopy for the patients who
have anterior ankle problems was determined and the main factors that effect
the results were investigated. According to the result of statistical analyses
preop and postop AOFAS and NPS score avarages were found clear different to
each other.

Results: The ankle arthroscopy that
is practised by experienced surgeons with an appropriate procedure after a good
clinical practise and a proper indication causes a high patient satisfaction
and it causes less and temporary complications. Because of all these reasons we
believe that the ankle arthroscopy can be practised by the appropriate surgeon
to the appropriate patient population.

Conclusion: We believe that the outcomes of ankle arthroscopy
performed properly by experienced hands after determining the patient
population who were accurately diagnosed by careful clinical examination and
necessary imaging methods are greatly satisfactory, and the acceptability is
high thanks to complications being less and usually transient.

Keywords

ankle arthroscopy, ankle pathologies, anterolateral impingement, osteochondral defect, ankle arthrosis

References

• Aydin A.T, Gokkus K: Ankle arthroscopy: indication and technique, Journal of TOTBİD; 2013; 12: p. 134-141.
• 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.
• 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.
• 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.
• Lawrence AD, Albert AG. Current concepts in ankle arthroscopy. Podiatry today. 2011; 24(4): p:54-61.
• Pinar H, Aydinok HC, Altunan AK: Arthroscopy of the cadaver ankle. Acta Orthop traum Turcic 1989; 23: p. 317-321.
• 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.
• 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
• Tecimer T, Yedek I, Bilgic E, Zaim E, Kılıckap C: Use tourniquet in extremity surgery, Acta Orthop Traumatol Turc 1995; 29: p. 172-176.
• 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
• 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.
• Zengerink M, van Dijk CN. Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2012; 20: p. 1420-31.