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Ankle arthroscopy: outcome in 79 consecutive patients

A Amendola1, J Petrik, S Webster-Bogaert

  • 1London Health Sciences Center, Ontario, Canada.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|October 1, 1996
PubMed
Summary

Ankle arthroscopy offers significant benefits for localized ankle conditions, with a low risk of complications. This study found that 63 of 79 patients experienced positive outcomes, particularly those with osteochondral lesions or impingement.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine

Background:

  • Ankle arthroscopy is a minimally invasive surgical procedure.
  • Evaluating the risks and benefits of ankle arthroscopy is crucial for patient management.

Purpose of the Study:

  • To assess the outcomes of 79 ankle arthroscopies performed over a two-year period.
  • To identify factors influencing the success of ankle arthroscopy.

Main Methods:

  • Retrospective analysis of 79 consecutive ankle arthroscopies with a minimum 2-year follow-up.
  • Standardized nonskeletal traction technique used by a single surgeon.
  • Preoperative and postoperative clinical assessment using visual analog scores.

Main Results:

  • Overall, 63 of 79 patients (80%) benefited from the procedure.

Related Experiment Videos

  • Diagnostic benefits were observed in 77% of diagnostic arthroscopies, and therapeutic benefits in 82% of therapeutic-only procedures.
  • Localized osteochondral lesions, impingement, and plica yielded the best results, while osteoarthritis and post-traumatic conditions had poorer outcomes.
  • Conclusions:

    • Ankle arthroscopy is a low-risk procedure with substantial benefits, especially for localized ankle joint diseases.
    • Patient selection is key, with better outcomes for localized pathologies compared to diffuse conditions like osteoarthritis.