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Ankle arthroscopy: review and long-term results
Foot & Ankle
|September 1, 1992
Summary
Ankle arthroscopy offers good outcomes for various conditions, with 95% of patients willing to have the procedure again. Results were best for chondral defects and in non-compensating patients.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
Background:
- Ankle arthroscopy has become a key diagnostic and surgical tool.
- It addresses a range of ankle pathologies including fractures, sprains, and osteoarthritis.
Purpose of the Study:
- To evaluate the clinical outcomes and patient satisfaction following ankle arthroscopy.
- To identify factors influencing successful outcomes in ankle arthroscopy.
Main Methods:
- Retrospective review of 40 ankle arthroscopies performed by a single surgeon.
- Clinical outcomes assessed using standardized ratings; patient satisfaction surveyed.
- Minimum 24-month follow-up for 30 reviewed cases.
Main Results:
- Overall clinical results: 13% excellent, 60% good, 17% fair, 10% poor.
- High patient satisfaction: 95% would undergo the procedure again.
- Significantly better outcomes observed for chondral/osteochondral defects and non-compensating cases.
Conclusions:
- Ankle arthroscopy provides favorable outcomes and high patient satisfaction for selected indications.
- Early diagnosis and treatment of chondral defects, and avoiding compensation, are key to success.
- The procedure is a valuable option for managing complex ankle problems unresponsive to conservative care.