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Related Concept Videos

Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Evidence-based indications for ankle arthroscopy.

Mark A Glazebrook1, Venkat Ganapathy, Michael A Bridge

  • 1Department of Orthopaedic Surgery, Dalhousie University, Halifax, Nova Scotia, Canada. Mark.Glazebrook@cdha.nshealth.ca

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|December 8, 2009
PubMed
Summary

This study reviews evidence for ankle arthroscopy, finding fair support (Grade B) for impingement, osteochondral lesions, and arthrodesis. Other indications show weaker or insufficient evidence, necessitating further research.

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Area of Science:

  • Orthopedic Surgery
  • Evidence-Based Medicine

Background:

  • Ankle arthroscopy is a common surgical technique for various foot and ankle conditions.
  • Assessing the level of evidence supporting its use is crucial for clinical decision-making.

Purpose of the Study:

  • To comprehensively review the literature on the Level of Evidence for ankle arthroscopy.
  • To assign grades of recommendation for current indications of ankle arthroscopy.

Main Methods:

  • A systematic review (Level IV) of PubMed literature was conducted in August 2008.
  • Articles were analyzed to determine the Level of Evidence (I-IV) for therapeutic ankle arthroscopy studies.
  • Grades of recommendation were assigned based on the analyzed evidence.

Main Results:

  • Fair evidence (Grade B) supports ankle arthroscopy for impingement, osteochondral lesions, and arthrodesis.
  • Poor evidence (Grade C) supports its use for instability, septic arthritis, arthrofibrosis, and loose body removal.
  • Ankle arthritis (non-impingement) is not recommended (Grade C against), and evidence is insufficient for synovitis and fractures (Grade I).

Conclusions:

  • Adequate evidence supports ankle arthroscopy for most indications.
  • Further research is needed to strengthen the evidence base for various ankle arthroscopy applications.