Nasef Mohamed Nasef Abdelatif1. 1. Department of Orthopedic Surgery, Faculty of Medicine, Bani Suef University Hospital, Bani Suef, Egypt, docnasef@hotmail.com.
Abstract
PURPOSE: To determine the technical feasibility and preliminary clinical efficacy of performing simultaneous arthroscopic management in cases with combined posterior and anterior ankle pathologies utilizing previously described standard arthroscopic procedures within a single surgical sitting. METHODS: Nineteen consecutive patients with combined anterior and posterior ankle pathologies were included in the current study, after at least 6 months of failed conservative managements. Combined standard posterior and anterior ankle arthroscopy was performed in all patients within the same surgical session; first with the patient in the prone position, then with the patient turned onto the supine position to perform the anterior procedure. RESULTS: All patients were available for the follow-up; the median follow-up period was 33 months (range 22-61 months). No persistent neurological deficits or infections were recorded. The American Orthopedic Foot and Ankle Society Ankle and Hind foot Scale score significantly improved from 70.2 ± 15.2 points preoperatively to reach 93.0 ± 5.4 points at 1 year post-operatively (p < 0.001). Sixteen patients (84.2 %) returned to their previous activity levels. CONCLUSIONS: Combined arthroscopic management of concurrent posterior and anterior ankle pathologies within the same surgical session is initially clinically encouraging; it allows for an earlier return to activities of daily living without a significantly added morbidity. LEVEL OF EVIDENCE: Case series, Level IV.
PURPOSE: To determine the technical feasibility and preliminary clinical efficacy of performing simultaneous arthroscopic management in cases with combined posterior and anterior ankle pathologies utilizing previously described standard arthroscopic procedures within a single surgical sitting. METHODS: Nineteen consecutive patients with combined anterior and posterior ankle pathologies were included in the current study, after at least 6 months of failed conservative managements. Combined standard posterior and anterior ankle arthroscopy was performed in all patients within the same surgical session; first with the patient in the prone position, then with the patient turned onto the supine position to perform the anterior procedure. RESULTS: All patients were available for the follow-up; the median follow-up period was 33 months (range 22-61 months). No persistent neurological deficits or infections were recorded. The American Orthopedic Foot and Ankle Society Ankle and Hind foot Scale score significantly improved from 70.2 ± 15.2 points preoperatively to reach 93.0 ± 5.4 points at 1 year post-operatively (p < 0.001). Sixteen patients (84.2 %) returned to their previous activity levels. CONCLUSIONS: Combined arthroscopic management of concurrent posterior and anterior ankle pathologies within the same surgical session is initially clinically encouraging; it allows for an earlier return to activities of daily living without a significantly added morbidity. LEVEL OF EVIDENCE: Case series, Level IV.
Authors: David F Deng; Graham A Hamilton; Michael Lee; Shannon Rush; Lawrence A Ford; Sandeep Patel Journal: J Foot Ankle Surg Date: 2011-12-20 Impact factor: 1.286
Authors: Pietro Spennacchio; Davide Cucchi; Pietro S Randelli; Niek C van Dijk Journal: Knee Surg Sports Traumatol Arthrosc Date: 2016-01-07 Impact factor: 4.342