Arthroscopic Capsular Shrinkage for Chronic Ankle Instability with Thermal Radiofrequency: Prospective Multicenter Trial

Vries, Jasper S de; Krips, Rover; Blankevoort, Leendert; Fievez, Alex W F M; Dijk, C. Niek van

doi:10.3928/01477447-20080701-05

Cited by 45 publications

(7 citation statements)

References 44 publications

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“…In previous reports the shrinkage procedure has been adopted for the treatment of functional ankle instability without ligamentous incompetence, 31,38,35 and the procedure has been reserved to the cases when the ATFL was attenuated, not avulsed. 5,15,29,31,35,38 We extended arthroscopic treatment also to the condition of isolated ATFL complete tear. We proposed a four-step operative procedure including synovectomy (Figure 1A), debridement of ATFL lesion borders (Figure 1B), capsular shrinkage (Figure 1C), and immobilization and nonweightbearing for 21 days (Figure 1D).…”

Section: Discussionmentioning

confidence: 99%

“…1/January 2012 The role of arthroscopy as a definitive therapeutic approach in the treatment of chronic ankle instability has been reported. 5,15,29,31,35,38 The ATFL is continuous with the joint capsule and, therefore, is readily accessible during ankle arthroscopy. Some surgeons adopted arthroscopic thermal-assisted capsular shrinkage for the treatment of functional instability.…”

Section: Ventura Et Almentioning

confidence: 99%

“…21 In fact, in most studies, the procedure has been reserved for the cases where the ATFL was attenuated, not avulsed. 5,15 Advantages of arthroscopic procedures compared to open techniques are the reduced invasiveness and surgical morbidity, less operating time and quick return to work and leisure activities. 52 The purpose of our paper was to evaluate arthroscopic treatment of chronic lateral ankle instability, assessing the outcomes in terms of postoperative recovery and return to sport.…”

Section: Ventura Et Almentioning

confidence: 99%

“…3 Recently, arthroscopic treatment of chronic lateral ankle instability has been proposed in order to minimize invasiveness, reduce operating time and allow a faster rehabilitation period with an earlier return to work. 5,15,29,31,35,38 Arthroscopic thermal assisted capsular shrinkage is an option for the treatment of functional joint instability. Thermal energy, provided by radiofrequency and laser, produces an effective reduction in capsular volume and joint translation by shortening collagenous structures within the connective tissue.…”

Section: Introductionmentioning

confidence: 99%

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Arthroscopic Four-Step Treatment for Chronic Ankle Instability

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Section: Ventura Et Almentioning

confidence: 99%

Section: Ventura Et Almentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Arthroscopic Four-Step Treatment for Chronic Ankle Instability

et al. 2012

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“…Currently, anatomic reconstruction or repair techniques are preferred in order to restore joint configuration and mechanics [1, 2, 14, 15, 33, 44]. The last technique that has been used is capsular shrinkage that uses local heat application to induce shrinkage of the anterior talofibular ligament (ATFL) and capsule [11, 29]. …”

Section: Introductionmentioning

confidence: 99%

Anatomic stabilization techniques provide superior results in terms of functional outcome in patients suffering from chronic ankle instability compared to non-anatomic techniques

Vuurberg

Pereira

Blankevoort

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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PurposeTo determine the best surgical treatment for chronic ankle instability (CAI) a systematic review was performed to compare the functional outcomes between various surgical stabilization methods.MethodsA systematic search was performed from 1950 up to April 2016 using PubMed, EMBASE, Medline and the Cochrane Library. Inclusion criteria were a minimum age of 18 years, persistent lateral ankle instability, treatment by some form of surgical stabilization, described functional outcome measures. Exclusion criteria were case reports, (systematic) reviews, articles not published in English, description of only acute instability or only conservative treatment, medial ankle instability and concomitant injuries, deformities or previous surgical treatment for ankle instability. After inclusion, studies were critically appraised using the Modified Coleman Methodology Score.ResultsThe search resulted in a total of 19 articles, including 882 patients, which were included in this review. The Modified Coleman Methodology Score ranged from 30 to 73 points on a scale from 0 to 90 points. The AOFAS and Karlsson Score were the most commonly used patient-reported outcome measures to assess functional outcome after surgery. Anatomic repair showed the highest post-operative scores [AOFAS 93.8 (SD ± 2.7; n = 119); Karlsson 95.1 (SD ± 3.6, n = 121)], compared to anatomic reconstruction [AOFAS 90.2 (SD ± 10.9, n = 128); Karlsson 90.1 (SD ± 7.8, n = 35)] and tenodesis [AOFAS 86.5 (SD ± 12.0, n = 10); Karlsson 85.3 (SD ± 2.5, n = 39)]. Anatomic reconstruction showed the highest score increase after surgery (AOFAS 37.0 (SD ± 6.8, n = 128); Karlsson 51.6 (SD ± 5.5, n = 35) compared to anatomic repair [AOFAS 31.8 (SD ± 5.3, n = 119); Karlsson 40.9 (SD ± 2.9, n = 121)] and tenodesis [AOFAS 19.5 (SD ± 13.7, n = 10); Karlsson 29.4 (SD ± 6.3, n = 39)] (p < 0.005).ConclusionAnatomic reconstruction and anatomic repair provide better functional outcome after surgical treatment of patients with CAI compared to tenodesis reconstruction. These results further discourage the use of tenodesis reconstruction and other non-anatomic surgical techniques. Future studies may be required to indicate potential value of tenodesis reconstruction when used as a salvage procedure. Not optimal, but the latter still provides an increase in functional outcome post-operatively. Anatomic reconstruction seems to give the best results, but may be more invasive than anatomic repair. This has to be kept in mind when choosing between reconstruction and repair in the treatment of CAI.Level of evidenceIV.

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Instability of Ankle and Subtalar Joint

Ventura

2020

Ankle Joint Arthroscopy

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Arthroscopic Capsular Shrinkage for Chronic Ankle Instability with Thermal Radiofrequency: Prospective Multicenter Trial

Cited by 45 publications

References 44 publications

Arthroscopic Four-Step Treatment for Chronic Ankle Instability

Arthroscopic Four-Step Treatment for Chronic Ankle Instability

Anatomic stabilization techniques provide superior results in terms of functional outcome in patients suffering from chronic ankle instability compared to non-anatomic techniques

Instability of Ankle and Subtalar Joint

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