Arthroscopic Excision of Posterior Ankle Bony Impingement for Early Return to the Field: Short-term Results

Abstract

Arthroscopic treatment for posterior ankle bony impingement syndrome was minimally invasive and suitable for athletes who desire an early return to sports activity.

Arthroscopic Approach to Osteochondral Defects, Impingement, and Instability

“…20,[44][45][46][47] More than 95% of athletes return to the same level of sport. 19,45,48,49 Open procedures have shown similar return to sport outcomes, but with longer recovery times. [50][51][52] Patients obtain pain-free range of motion and small increases in dorsiflexion postoperatively.…”

“…34,43,49,53 Most of the literature on athletes involves elite soccer players and dancers. Arthroscopically treated, athletes return sport faster than those who undergo open procedures.…”

Disorders of the Flexor Hallucis Longus and Os Trigonum

“…Average time to return to sports or activities was 5.9 weeks to 5.8 months. 23,[60][61][62][63]65,66,[70][71][72] Open excision of the os trigonum through PM or PL approaches were effective and safe in the patients with os trigonum syndrome. 29,73 Previous studies reported significant improvement of AOFAS scores, and average AOFAS scores were 87.6 to 100.0 points at the final postoperative visit.…”

“…23 Arthroscopic os trigonum excision can be performed from either a lateral or a posterior approach. 23,[60][61][62][63][64][65][66][67] The authors prefer prone over lateral decubitus position because it provides a more direct approach to the os trigonum, decreases the risk of instrument skiving off toward the neurovascular bundles, and simultaneously allows performance of the procedure for FHL pathology.…”

Subtalar Arthroereisis with Endorthesis in Adult-acquired Flatfoot: Classification of the Postoperative Rehabilitation Phases

“…25 Conversely, patients undergoing ankle arthroscopic excision do not wear a cast after surgery and they are advised to limit the range of motion and to protected the load in the first twenty-four hours postoperatively. 26 On the other hand, in surgical procedures of the ankle more invasive than SA, patients are encouraged to exert weight after surgery. In patients undergoing SA, if a physiotherapist is involved in stage 1, in order to prevent/manage any complications, he/she must be present as a counselor and must refer every unusual condition (after clinical evaluation) which may compromise the postoperative course.…”