Clinical Outcome of Arthroscopic Treatment of Anterior Ankle Pathologies

Year 2019, Volume: 5 Issue: 2, 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

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