Arthroscopic management of post traumatic anterolateral soft tissue ankle impingement
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 3
Abstract
Purpose: Was to evaluate the results of arthroscopic management of anterolateral soft tissue anke impingement (ALSTAI) secondary to ankle inversion injuries. Patients and Methods: We treated 27 cases of ALSTAI by arthroscpic debridement betweent Jan 2015 and Dec 2016. We excluded cases with associated chondral lesions, mechanical instability. Bony impingement and arthritic ankles. Results: After a mean follow-up period of 15 months (12-240, 24 cases (88%) had complete pain relief while 3 cases (12%) still had pain with strenuous activities. The AOFAS score improved from 42 pre operative to 88 post-operative (P value= 0.0001). According to Meislen criteria, 14 cases were excellent (51.8%), 10 cases (37.1%) were good while three cases (11.1%) were fair, but no poor results. There was no major postoperative complications in any patient. The reported complications were minor and few; temporary parathesia of the dorsum of the foot in two and peri-portal superficial infection in two, that resolved with antibiotics and local care. Conclusion: Arthroscopic debridement of the ankle proved to be effective and safe in management of anterolateral soft tissue ankle impingement subsequent to ankle inversion injuries.
Authors and Affiliations
Adel Abdel Azim Ahmad, Mohamed Othman, Hossam Fathi
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