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Persistent postoperative pain after the Chrisman-Snook ankle reconstruction.
P J Juliano1, J D Jordan, F G Lippert
1Penn State College of Medicine, and Uniformed Services University of the Health Sciences, Hershey, Pennsylvania, USA.
American Journal of Orthopedics (Belle Mead, N.J.)
|July 13, 2000
Summary
Persistent pain after Chrisman-Snook ankle reconstruction can often be treated. Surgical exploration identified correctable causes in 60% of cases, highlighting the need for meticulous surgical technique to prevent complications.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Ankle Reconstruction
Background:
- Persistent postoperative pain is a known complication of the Chrisman-Snook ankle reconstruction.
- The incidence of this complication varies widely, ranging from 7% to 60%.
Purpose of the Study:
- To report on surgical explorations for persistent pain following Chrisman-Snook ankle reconstruction.
- To identify surgically correctable causes of persistent pain and recommend preventive measures.
Main Methods:
- Retrospective review of 10 cases undergoing surgical exploration for persistent pain after Chrisman-Snook ankle reconstruction.
- Analysis of identified pathologic lesions and correlation with surgical technique.
Main Results:
- Surgically correctable causes for pain were found in 6 out of 10 cases (60%).
- Identified lesions included graft tunnel issues, neuroma, and other soft tissue problems.
- Preventable technical errors were noted in the index operations.
Conclusions:
- Surgical exploration is a viable option for persistent pain after Chrisman-Snook ankle reconstruction.
- Meticulous attention to surgical detail, including graft placement, nerve preservation, and capsule closure, is crucial for preventing complications.
- Recommendations provided aim to minimize the risk of persistent postoperative pain.