Benefits of arthroscopic tuberculoplasty in posterior ankle impingement syndrome |
| |
Authors: | Marc Tey Joan C Monllau Josep M Centenera Xavier Pelfort |
| |
Affiliation: | (1) Knee and Arthroscopy Unit, Department of Orthopaedic Surgery, ICATME, Institut Universitari Dexeus, Iradier 3, 08017 Barcelona, Spain;(2) Department of Orthopaedic Surgery, ICOT Girona, Clínica Quirúrgica Onyar, Heroines Sta. Bàrbara 6, 17004 Girona, Spain;(3) Department of Orthopaedic Surgery, Hospital IMAS, Passeig Maritim 29, 08003 Barcelona, Spain |
| |
Abstract: | The purpose of this work was to describe the posterior ankle impingement syndrome related to the posterolateral tubercle of
the talus bone and to present a retrospective analysis of our results after arthroscopic plasty of the tubercle in 15 ankles
with a mean 3-year follow-up. Fifteen cases of posterior ankle impingement (PAI) underwent arthroscopic excision of an impinging
bone spur. All the patients (13) were retrospectively evaluated at an average of 36 months after index surgery. There were
seven women (bilateral in two of them) and six men. Ten were involved in different kinds of sport and three were professional
ballet dancers. Preoperative symptoms included pain localized in the posterior ankle, limitation of motion, weakness and swelling.
All patients had failed a course of conservative therapies. Surgery was performed through posterolateral and posteromedial
portals as described by van Dijk. After soft tissue debridement, partial resection of the posterolateral process was performed
until there was complete plantar flexion without bone impingement. Postoperatively, all patients followed the same rehabilitation
protocol. Improvement in their impingement symptoms was recorded in all of them according to AOFAS score. One of them (7%)
still had occasional discomfort. The results suggest that arthroscopic bone decompression of the posterolateral tubercle in
cases of PAI resistant to non-surgical therapies is an effective treatment. |
| |
Keywords: | Ankle Arthroscopy Os trigonum Sports Talus |
本文献已被 SpringerLink 等数据库收录! |
|