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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2003, Number 6

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Acta Ortop Mex 2003; 17 (6)

Ankle arthroscopy: Analysis of result and indications.series of 17 consecutive cases

Álvarez CM, Juárez RC, León PM, Ochoa CR

Language: Spanish
References: 18
Page: 265-272
PDF size: 99.11 Kb.


ABSTRACT

We studied 17 consecutive ankle arthroscopies with a follow up of 3 to 60 months, and evaluated indications and results of the procedure. All the arthroscopies were performed by several orthopedic surgeons. All of the arthroscopies were made with no skeletal traction. The functional tests before surgery and after surgery was evaluated with the Karlsson score. Our results reported an osteochondral lesion in the talus dome in 17.6%, fracture scar tissue with or without osteoarthritic changes in 41%, synovitis in 23.3%, anterior impingement in 11.7% and free bodies in 5.8%. All patients evaluated at the end of the study referred improvement in their symptoms, according to the O’Driscoll and Morrey scale. Our study reported 75% accuracy in diagnosis and therapeutic in 88%. In patients with osteochondritis and postraumatic chondromalacia the results were poor. And patients with osteochondral lesion in the dome of the talus, impingement by an anterior osteophyte, synovitis and free bodies had better functional results. We had two neurological complications; one with paralysis of the deep peroneal nerve after surgery and one with injury to the superficial peroneal nerve as the anterolateral portal was made. The ankle arthroscopy is a low risk procedure with substantial benefits, specially in ankle pathology.


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