Arthroskopie des oberen Sprungelenks

Unger, Franz; Lajtai, G.; Ramadani, F.; Aitzetmüller, G.; Orthner, E.

doi:10.1007/s001130050633

Cited by 24 publications

(16 citation statements)

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“…Complications related to invasive distraction are ligament injuries, pintrack infections and stress fractures [14, 34]. Furthermore, instrument breakage, complex regional pain syndrome (CRPS), compartment syndrome, thromboembolic complications and painful scars [2, 18, 37], and even iatrogenic excision of the distal fibula have been described [32]. …”

Section: Introductionmentioning

confidence: 99%

Complications in ankle arthroscopy

Zengerink

Dijk

2012

Knee Surg Sports Traumatol Arthrosc

166

121

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PurposeTo determine the complication rate for ankle arthroscopy.MethodsA review of a consecutive series of patients undergoing ankle arthroscopy in our hospital between 1987 and 2006 was undertaken. Anterior ankle arthroscopy was performed by means of a 2-portal dorsiflexion method with intermittent soft tissue distraction. Posterior ankle arthroscopy was performed by means of a two-portal hindfoot approach. Complications were registered in a prospective national registration system. Apart from this complication registry, patient records, outpatient charts and operative reports were reviewed. Patients with a complication were asked to visit our hospital for clinical examination and assessment of permanent damage and persisting complaints.ResultsAn overall complication rate of 3.5 % in 1,305 procedures was found. Neurological complications (1.9 %) were related to portal placement. Age was a significant risk factor for the occurrence of complications. Most complications were transient and resolved within 6 months. Complications did not lead to functional limitations. Residual complaints did not influence daily activities.ConclusionsOur complication rate is less than half of what has been reported in literature (3.5 vs 10.3 %). The use of the dorsiflexion method for anterior ankle arthroscopy can prevent a significant number of complications. Posterior ankle arthroscopy by means of a two-portal hindfoot approach is a safe procedure with a complication rate that compares favourably to that of anterior ankle arthroscopy.Level of evidenceRetrospective prognostic study, Level II.

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Section: Introductionmentioning

confidence: 99%

Complications in ankle arthroscopy

Zengerink

Dijk

2012

Knee Surg Sports Traumatol Arthrosc

166

121

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show abstract

“…Die arthroskopische Synovektomie des OSG gilt als technisch eher anspruchsvoll und benötigt eine entsprechende "Learning curve". In der Literatur werden Komplikationsraten von bis zu 25% beschrieben [28][29][30]. Die bei der Synovektomie geforderte Radikalität wird für den ventralen Gelenkabschnitt recht zuverlässig erreicht, der dorsale Anteil hingegen ist nur mittels zeitweiser Distraktion oder zusätzlicher dorsaler Zugänge erreichbar.…”

Section: Therapieunclassified

Operationen am rheumatisch destruierten Rückfuß

Preis¹,

Dinges

2006

Fuß & Sprunggelenk

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“…Das fü hrt zu einer deutlichen Besserung der Beschwerden. Anschließend erfolgt die Stabilisierung des fibularen Kapselbandapparates durch eine offene Operation [9].…”

Section: Chronische Bandinstabilitätunclassified

“…Voraussetzungen zur erfolgreichen Arthroskopie am oberen Sprunggelenk ist zunä chst eine korrekte klinische Diagnostik unter Einsatz der bildgebenden apparativen Diagnostik einschließ-lich MRT [8]. Die engen anatomischen Verhä ltnisse erfordern grö ßte Sorgfalt und die Einhaltung operativer Standards, um peri-und postoperative Komplikationen zu vermeiden [9]. Ein standardisierter Untersuchungsgang garantiert die umfassende Exploration des Gelenkes und die Therapie der pathologischen Befunde in allen Gelenkanteilen.…”

Section: Schlussfolgerungunclassified