Combined arthroscopic management of concurrent posterior and anterior ankle pathologies

Abdelatif, Nasef Mohamed Nasef

doi:10.1007/s00167-014-2980-y

Cited by 16 publications

(24 citation statements)

References 40 publications

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“…We did not observe a higher rate of infections in our patients, which is in accordance with the data reported by other authors using this approach. 1,3,41 A study of a technique in which anterior ankle arthroscopy was performed first, followed by position switching from supine to prone, reported that the median time needed for position switching was 15 minutes. 28 However, patients were under general anesthesia, the leg was initially positioned in a holder with the hip flexed for 45 degrees, and with the use of noninvasive bandage distraction.…”

Section: Discussionmentioning

confidence: 99%

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Anterior and Posterior Arthroscopic Treatment of Primary Synovial Chondromatosis of the Ankle

et al. 2020

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Background: Primary synovial chondromatosis (PSC) is a progressive disorder of unknown etiology resulting in formation of multiple loose bodies. If left untreated, it may lead to degenerative changes or malignant transformation to chondrosarcoma. Methods: Seventeen patients who underwent combined posterior and anterior ankle arthroscopy within the same operative session and had histologically confirmed PSC were included in this retrospective study. American Orthopaedic Foot & Ankle Society (AOFAS) Ankle-Hindfoot score was used to evaluate ankle function preoperatively and at a final follow-up. A 3-question survey was used to evaluate patient’s satisfaction at the final follow-up. Results: In 14 patients, loose bodies were found in both compartments of the ankle, in 2 only in the anterior compartment, and in 1 only in the posterior compartment. All patients had evident signs of synovial inflammation in both compartments. The AOFAS Ankle-Hindfoot score increased from the preoperative median score of 65 (range, 29-90) to 95 (range, 65-100) at the final follow-up. Fourteen patients reported they were extremely satisfied with the outcome, 1 was moderately satisfied, and 2 were dissatisfied. No cases of recurrence of synovitis or loose body formation were noted, nor any signs of malignant transformation during the follow-up period. Conclusion: We believe the risk of recurrence of PSC, which is in close relation to malignant transformation, can be minimized by performing a complete synovectomy of the ankle. Our experience and review of literature makes us believe that ankle PSC should be regarded as a whole joint disorder. Performing a combined posterior and anterior arthroscopic procedure within the same operative session should always be considered in patients with ankle PSC. Level of Evidence: Level IV, retrospective case series.

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Section: Discussionmentioning

confidence: 99%

“…21 It was at the final follow-up when patient’s satisfaction was evaluated using a 3-question survey, as reported by Abdelatif. 1…”

Section: Methodsmentioning

confidence: 99%

Anterior and Posterior Arthroscopic Treatment of Primary Synovial Chondromatosis of the Ankle

et al. 2020

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“…We start with the anterior arthroscopy in the supine position. After finishing the procedure, the patient is placed in the prone position for the two-portal hindfoot approach 12 14 56…”

Section: Current State Of the Artmentioning

confidence: 99%

“…In Europe and Asia, most surgeons use the dorsiflexion method, with a two-portal technique. Depending on the diagnosis, an anterior or posterior approach or a combined approach is chosen 56. Arthroscopy as a diagnostic tool has been abandoned for a variety of reasons.…”

Section: Current State Of the Artmentioning

confidence: 99%

“…Refixation techniques of these structures will be developed and performed. Surgeons may also perform more combined anterior and posterior arthroscopy for a variety of indications, such as arthrofibrosis or post-traumatic symptoms, and even for treatment of large OCDs 14 56. Single-staged arthroscopic cartilage repair techniques will become available for repair of localised OCDs 94.…”

Section: Current State Of the Artmentioning

confidence: 99%

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