OPERATIVE ARTHROSCOPY OF THE ANKLE JOINT
Abstract
Background. Arthroscopy of the ankle joint has
become a standard diagnostic method. Some types of injuries
of the ankle joint can be successfully treated with arthroscopic
procedures.
Methods. From 1993 to 2001 we have performed operative
arthroscopy at 47 patients with different pathological conditions,
including osteochondral fractures, osteochondritis dissecans,
osteoarthritis secondary to ankle joint injury, loose
bodies, anterior soft tissue impigement, septic arthritis and
deformation after healing of talus fracture. The following arthroscopic
procedures were carried out: synovectomy, removal
of osteophytes , fragments, unstable cartilage, loose bodies
, cicatrices and dislocated bone in the front of the joint after
healing of the talus fracture, drilling of the chondral defects
and cleaning of the joint at purulent arthritis.
Results. The results were evaluated by Martin’s scale. At the
follow up results were excellent at 25 patients (53%), good at
17 (36%), fair at 3 (16%) and bad at 2 patients (4%). We had
moderate complications at 4 patients (8.5%). At three transient
hiposensibility of the dorsolateral part of the food was
occurred because of injury of the branches of the superficial
peroneal nerve. One patient has had synovial fistul for two
months which has closed spontaneously. This is correlated with
data in literature.
Conclusions. In some cases we found out the real diagnosis at
arthroscopy but we have never done only diagnostic arthroscopy.
We mean according to our results that some injuries
and diseases of the ankle joint have to be treated by arthroscopic
surgical methods. We mean also according to over experiences
that only diagnostical arthroscopy should not be done.
Always operative arthroscopy has to be performed.
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