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Ankle arthroscopic

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https://www.readbyqxmd.com/read/29138920/concurrent-arthroscopic-osteochondral-lesion-treatment-and-lateral-ankle-ligament-repair-has-no-substantial-effect-on-the-outcome-of-chronic-lateral-ankle-instability
#1
Dong Jiang, Yin-Fang Ao, Chen Jiao, Xing Xie, Lin-Xin Chen, Qin-Wei Guo, Yue-Lin Hu
PURPOSE: The purpose of the study was to evaluate the effect of concurrent arthroscopic osteochondral lesion (OCL) treatment and lateral ankle ligament repair on the outcome of chronic lateral ankle instability. It was hypothesized that the arthroscopic OCL treatment might have some negative effect on the outcome of chronic lateral ankle instability (CLAI) by compromising the rehabilitation program. METHODS: Ankle arthroscopy and anatomic lateral ankle ligament repair with suture anchors were performed for 70 patients with CLAI between 2010 and 2012...
November 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29125815/is-the-use-of-headless-compression-screws-appropriate-in-arthroscopic-ankle-arthrodesis
#2
Durmuş Ali Öçgüder, Ahmet Fırat, Metin Özdemir, Osman Tecimel
OBJECTIVES: This study aims to evaluate whether the use of headless compression screws is appropriate in arthroscopic ankle arthrodesis. PATIENTS AND METHODS: Twenty-two feet of 22 patients (12 males, 10 females; mean age 43.7 years; range 21 to 63 years) in whom we applied arthroscopic ankle arthrodesis were examined retrospectively. Mean follow-up duration was 59.3 months (range 36 to 92 months). Coronal and sagittal plane alignment and concomitant pathologies were evaluated on patients' radiographs...
December 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/29122435/arthroscopic-versus-open-ankle-arthrodesis-a-systematic-review
#3
REVIEW
Jung Ho Park, Hyun Jung Kim, Dong Hun Suh, Jin Woo Lee, Hak Jun Kim, Myung Jae Oh, Gi Won Choi
PURPOSE: To perform a systematic review comparing the clinical scores, union rate, complications, reoperations, hospital stay, and operation time between open ankle arthrodesis (OAA) and arthroscopic ankle arthrodesis (AAA). METHODS: We conducted a comprehensive search in the MEDLINE, Embase, and Cochrane Library databases. Only comparative studies were included in this meta-analysis. The literature search, data extraction, and quality assessment were conducted by 2 independent reviewers...
November 6, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29103892/analysis-of-two-different-arthroscopic-brostr%C3%A3-m-repair-constructs-for-treatment-of-chronic-lateral-ankle-instability-in-110-patients-a-retrospective-cohort-study
#4
James M Cottom, Joseph Baker, Britton S Plemmons
Chronic lateral ankle instability is a common condition treated by most foot and ankle surgeons. Once conservative treatment has failed, patients often undergo surgical reconstruction, either anatomic or nonanatomic. The present retrospective cohort study compared the clinical outcomes of 2 different arthroscopic Broström procedures. A total of 110 patients (83 females [75.5%] and 27 males [24.5%]) were treated with 1 of the 2 lateral ankle stabilization techniques from October 1, 2014 to December 31, 2015...
November 2, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29102570/brake-reaction-time-after-ankle-and-subtalar-arthroscopy
#5
Tinnart Sittapairoj, Chris A Anthony, Chamnanni Rungprai, Yubo Gao, Alexej Barg, Phinit Phisitkul
PURPOSE: To evaluate preoperative and postoperative brake reaction time (BRT) of patients undergoing right-sided ankle or subtalar arthroscopy. METHODS: Patients who underwent right-sided ankle or subtalar arthroscopy were evaluated between May 2015 and February 2017. The inclusion criteria consisted of patients older than 18 years who possessed a valid driver's license, primarily drove vehicles that had automatic transmission, and used their right foot to depress the brake pedal...
November 1, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29095403/ankle-mri-and-arthroscopy-correlation-with-cartilaginous-defects-and-symptomatic-os-trigonum
#6
Brian D Powell, Minton T Cooper
Arthroscopic intervention of the foot and ankle is used for a growing number of procedures. Magnetic resonance imaging (MRI) can be a helpful technique while detecting pathology before surgical intervention. A common use of MRI is detecting osteochondral lesion of the talus; however, other pathology can be detected including but not limited to symptomatic Os trigonum and subtalar osteochondral defects. An MRI sensitivity and specificity for detecting these pathologies vary. Correlating findings on MRI with arthroscopy is helpful in determining its accuracy and will be discussed in the following case examples...
December 2017: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29081864/distal-tibiofibular-syndesmosis-anatomy-biomechanics-injury-and-management
#7
REVIEW
Chi Pan Yuen, Tun Hing Lui
A stable and precise articulation of the distal tibiofibular syndesmosis is essential for normal motion of the ankle joint. Injury to the syndesmosis occurs through rupture or bony avulsion of the syndesmotic ligament complex. External rotation of the talus has been identified as the major mechanism of syndesmotic injury. None of the syndesmotic stress tests was sensitive or specific; therefore the diagnosis of syndesmotic injury should not be made based on the medical history and physical examination alone...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29081860/arthroscopic-lateral-ligament-repair-through-two-portals-in-chronic-ankle-instability
#8
Jorge Pablo Batista, Jorge Javier Del Vecchio, Luciano Patthauer, Manuel Ocampo
OBJECTIVES: Injury to the lateral ligament complex of the ankle is one of the most common sports-related injury. Usually lateral ankle evolves with excellent clinical recovery with non surgical treatment, however, near about 30% develop a lateral chronic instability sequela. Several open and arthroscopic surgical techniques have been described to treat this medical condition. MATERIAL AND METHODS: Of the 22 patients who were treated; 18 males and 4 females, and aged from 17-42 years (mean 28 years)...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29079263/accessibility-of-the-talar-dome-anatomic-comparison-of-plantarflexion-versus-noninvasive-distraction-in-arthroscopy
#9
Lena Hirtler, Reinhard Schuh
PURPOSE: The purpose of this study was to evaluate the difference in accessibility of the talar dome during ankle arthroscopy between noninvasive distraction and maximum plantar flexion without distraction. METHODS: For this study, 20 matched pairs (n = 40) of anatomic ankle specimens were used. Two groups (distraction or maximum plantar flexion) were defined. Through the use of chondral picks, the accessibility of each technique was tested arthroscopically. Afterward, the ankle joint was dissected and the reach achieved was measured and compared between the 2 groups...
October 24, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29073776/distance-between-the-anterior-distal-tibial-edge-and-the-anterior-tibial-artery-in-distraction-and-nondistraction-during-anterior-ankle-arthroscopy-a-cadaveric-study
#10
Ichiro Tonogai, Fumio Hayashi, Yoshihiro Tsuruo, Koichi Sairyo
BACKGROUND: Anterior ankle arthroscopy is widely applied for various osteoarthropathies. However, distraction of the ankle may put the anterior tibial artery (ATA) at risk of injury during the procedure. The purpose of this study was to assess the difference in the distance between the anterior distal tibial edge and the ATA in distraction and nondistraction of the ankle with joint space expansion by saline injection into the joint. METHODS: Eight whole fresh-frozen cadaveric feet (mean age 78...
October 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/29037924/-all-inside-arthroscopic-treatment-of-tillaux-chaput-fractures-clinical-experience-and-outcomes-analysis
#11
Shi-Ming Feng, Qing-Qing Sun, Ai-Guo Wang, Cheng-Kun Li
We investigated all-inside ankle arthroscopy for Tillaux-Chaput fractures. We retrospectively evaluated 19 patients (12 males [63.2%] and 7 [36.8%] females; 11 right [57.9%] and 8 left [42.1%] ankles) treated from May 2013 to January 2016. Their mean age was 28.1 (range 10 to 55) years. Sixteen (84.2%) had single Tillaux-Chaput fractures and 3 (15.8%) had combined proximal fibular fractures; 17 (89.5%) were diagnosed radiographically and 2 (10.5%) by computed tomography. Anterolateral and anteromedial ankle arthroscopy was used for closed reduction and internal fixation with 1 or 2 Herbert screws...
October 13, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29034742/comparison-of-outcomes-in-patients-with-generalized-ligamentous-laxity-and-without-generalized-laxity-in-the-arthroscopic-modified-brostr%C3%A3-m-operation-for-chronic-lateral-ankle-instability
#12
Eui Dong Yeo, Ji Young Park, Jin Hyeung Kim, Young Koo Lee
BACKGROUND: The arthroscopic modified Broström operation (MBO) has been frequently used to treat chronic lateral ankle instability (CLAI). However, no reports comparing the clinical outcomes between patients with or without generalized ligamentous laxity (laxity or no laxity, respectively) currently exist. The purpose of this study was to compare the clinical outcomes of the 2 groups with CLAI. METHODS: Between January 2013 and November 2015, arthroscopic MBO was performed on 99 patients with CLAI...
October 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28985486/the-effect-of-ankle-distraction-on-arthroscopic-evaluation-of-syndesmotic-instability-a-cadaveric-study
#13
Bart Lubberts, Daniel Guss, Bryan G Vopat, Jonathon C Wolf, Daniel K Moon, Christopher W DiGiovanni
BACKGROUND: To assist with visualization, orthopaedic surgeons often apply ankle distraction during arthroscopic procedures. The study aimed to investigate whether ankle distraction suppresses fibular motion in cadaveric specimens with an unstable syndesmotic injury. METHODS: Fourteen fresh-frozen above knee specimens underwent arthroscopic assessment with 1) intact ligaments, 2) after sectioning of the anterior inferior tibiofibular ligament, the interosseous ligament, and the posterior inferior tibiofibular ligament, and 3) after sectioning of the deep and superficial deltoid ligament...
September 28, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28983653/combined-arthroscopic-all-inside-repair-of-lateral-and-medial-ankle-ligaments-is-an-effective-treatment-for-rotational-ankle-instability
#14
Jordi Vega, Jörg Allmendinger, Francesc Malagelada, Matteo Guelfi, Miki Dalmau-Pastor
PURPOSE: When the anterior fascicle of the deltoid ligament is injured in patients with chronic ankle instability, the diagnosis of rotational ankle instability is supported. The aim of this study was to report the results of an all-arthroscopic technique to concomitantly repair the lateral collateral and deltoid ligaments to treat patients with rotational ankle instability. METHODS: Thirteen patients [12 men and 1 woman, median age 32 (15-54) years] with rotational ankle instability were treated by arthroscopic means after failing non-operative management...
October 5, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28979588/management-of-osteochondral-lesions-of-the-talar-dome
#15
Chamnanni Rungprai, Joshua N Tennant, Ryan D Gentry, Phinit Phisitkul
Osteochondral lesion of the talus (OLT) is a common condition associated with ankle injury that brings challenges in the diagnosis and treatment. Symptoms related to this condition are nonspecific including pain, swelling, stiffness, and mechanical symptoms of locking and catching. While the natural history of the OLTs is not well understood, surgical treatment is often required especially in chronic cases and acute cases with displaced articular fragments. Arthroscopic treatment of the OLTs aims to restore ankle joint function and pain relief by the removal of the chondral or osteochondral fragment, debridement and stabilization of cartilage rim and subchondral bone, and stimulate healing of the bone and damaged cartilage...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28952792/comparison-of-ankle-joint-visualization-between-the-70%C3%A2-and-30%C3%A2-arthroscopes-a-cadaveric-study
#16
Ichiro Tonogai, Fumio Hayashi, Yoshihiro Tsuruo, Koichi Sairyo
Ankle arthroscopy is an important diagnostic and therapeutic tool. Arthroscopic ankle surgery for anterior ankle impingement or osteochondral lesions (OCLs) is mostly performed with a 30° arthroscope; however, visualization of lesions is sometimes difficult. This study sought to compare ankle joint visualization between 70° and 30° arthroscopes and clarify the effectiveness of 70° arthroscopy. Standard anterolateral and anteromedial portals were placed with 4-mm 70° or 30° angled arthroscopes in a fresh 77-year-old male cadaveric ankle...
September 1, 2017: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/28921017/the-german-arthroscopy-registry-dart
#17
Ralf Mueller-Rath, Oliver Miltner, Alfred Hochrein, Philipp Niemeyer
In Germany, more than 400,000 arthroscopic procedures are performed each year. The DART registry is designed to study the outcome of arthroscopic procedures of the shoulder, hip, knee and ankle joint under everyday clinical circumstances using patient-reported outcome measures (PROMs). DART aims at identifying patient-specific factors correlated with therapy-associated complications and treatment failure and will help study the influence of concurrent joint diseases and procedures. To achieve these tasks, a Web-based remote data entry system will be applied and adapted to the needs of DART...
September 18, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28899558/arthroscopically-measured-syndesmotic-stability-after-screw-vs-suture-button-fixation-in-a-cadaveric-model
#18
Bart Lubberts, Bryan G Vopat, Jonathon C Wolf, Umile Giuseppe Longo, Christopher W DiGiovanni, Daniel Guss
BACKGROUND: Appropriate management of ankle syndesmotic instability is needed to prevent the development of complications. Previous biomechanical studies have evaluated movement of the fibula after screw or suture button fixations with different results, most likely being caused by variations in experimental setups that did not mirror the in vivo clinical setting. This study aimed to arthroscopically compare in a cadaveric model the stability of syndesmotic fixation with either a suture button or syndesmotic screw...
August 31, 2017: Injury
https://www.readbyqxmd.com/read/28893616/does-antero-lateral-ankle-impingement-exist
#19
REVIEW
F Molinier, J Benoist, F Colin, J Padiolleau, S Guillo, J Stone, T Bauer
Antero-lateral ankle impingement syndrome (ALAIS) is a well-established clinical entity that is a common consequence of ankle sprains. Injury to the anterior talo-fibular ligament plays a key role in the genesis of ALAIS. Arthroscopic antero-lateral synovectomy is the standard of care. However, this treatment approach may deserve to be challenged, as it does not include any procedure on the ligaments, despite the presence in some patients of lateral rotational micro-instability of the ankle, without objective laxity...
September 8, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28891713/effect-of-preoperative-deformity-on-arthroscopic-and-open-ankle-fusion-outcomes
#20
Timo Schmid, Fabian Krause, Murray J Penner, Andrea Veljkovic, Alastair S E Younger, Kevin Wing
INTRODUCTION: Coronal deformity is considered a relative contraindication for arthroscopic ankle fusion. This study assessed whether preoperative coronal ankle joint deformity influenced the outcome of arthroscopic ankle fusion. METHODS: Ninety-seven patients had 62 arthroscopic and 35 open ankle fusions between 2005 and 2012. Clinical outcomes were prospectively recorded with use of the Ankle Osteoarthritis Scale (AOS) and Ankle Arthritis Scale (AAS) preoperatively and at 6, 12, and 24 months and final follow-up...
September 1, 2017: Foot & Ankle International
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