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Outcome of posterior ankle arthroscopy for hindfoot impingement.

Publication ,  Journal Article
Willits, K; Sonneveld, H; Amendola, A; Giffin, JR; Griffin, S; Fowler, PJ
Published in: Arthroscopy
February 2008

PURPOSE: To provide short-term clinical results of posterior ankle arthroscopy in the treatment of posterior ankle impingement. METHODS: This was a retrospective evaluation of the clinical outcomes of posterior ankle arthroscopy in a series of patients with posterior ankle pain. RESULTS: Of 23 patients who underwent 24 posterior ankle arthroscopies between July 1998 and February 2004, 15 patients (mean age, 25 years) with 16 posterior ankle arthroscopies were evaluated at a mean follow-up time of 32 months (range, 6 to 74). Procedures carried out were: excision of os trigonum (11); decompression of prominent posterior talar process (5); tenolysis of flexor hallucis longus (5); removal of loose body (1); osteochondritis dissecans lesion debridement (1); and arthrotomy (1). The average time to return to work was 1 month (range, 0 to 3) and to sports, 5.8 months (range, 1 to 24). Fourteen patients returned to their preinjury level of athletics. Mean Health Survey Short Form (SF-12) scores were 51.80 for the mental component (range, 30.77 to 60.53) and 55.80 for the physical component (range, 44.26 to 63.33). Mean score on the American Orthopaedic Foot and Ankle Society Ankle and Hindfoot Scale was 91 (range, 77 to 100) and on the Lower Extremity Functional Scale was 75 (range, 65 to 80). Documented complications included temporary numbness in the region of the scar in 5 patients and temporary ankle stiffness in 1 patient. There were no permanent neurovascular injuries. All subjects reported significant improvement and indicated that they would undergo the surgery again if needed. CONCLUSIONS: Functional and clinical evaluations following posterior ankle arthroscopy revealed that all patients were very satisfied. They reported good to excellent health-related quality of life scores, satisfactory functional outcomes, and a high rate of return to sporting activities. Most importantly, no significant complications were encountered. This review suggests that posterior ankle arthroscopy is a safe and effective surgical procedure in the treatment of posterior ankle impingement. LEVEL OF EVIDENCE: Level IV, therapeutic case series.

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Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

February 2008

Volume

24

Issue

2

Start / End Page

196 / 202

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Retrospective Studies
  • Quality of Life
  • Postoperative Complications
  • Pain Measurement
  • Orthopedics
  • Male
  • Magnetic Resonance Imaging
  • Humans
 

Citation

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Willits, K., Sonneveld, H., Amendola, A., Giffin, J. R., Griffin, S., & Fowler, P. J. (2008). Outcome of posterior ankle arthroscopy for hindfoot impingement. Arthroscopy, 24(2), 196–202. https://doi.org/10.1016/j.arthro.2007.08.025
Willits, Kevin, Heleen Sonneveld, Annunziato Amendola, J Robert Giffin, Sharon Griffin, and Peter J. Fowler. “Outcome of posterior ankle arthroscopy for hindfoot impingement.Arthroscopy 24, no. 2 (February 2008): 196–202. https://doi.org/10.1016/j.arthro.2007.08.025.
Willits K, Sonneveld H, Amendola A, Giffin JR, Griffin S, Fowler PJ. Outcome of posterior ankle arthroscopy for hindfoot impingement. Arthroscopy. 2008 Feb;24(2):196–202.
Willits, Kevin, et al. “Outcome of posterior ankle arthroscopy for hindfoot impingement.Arthroscopy, vol. 24, no. 2, Feb. 2008, pp. 196–202. Pubmed, doi:10.1016/j.arthro.2007.08.025.
Willits K, Sonneveld H, Amendola A, Giffin JR, Griffin S, Fowler PJ. Outcome of posterior ankle arthroscopy for hindfoot impingement. Arthroscopy. 2008 Feb;24(2):196–202.
Journal cover image

Published In

Arthroscopy

DOI

EISSN

1526-3231

Publication Date

February 2008

Volume

24

Issue

2

Start / End Page

196 / 202

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Tomography, X-Ray Computed
  • Retrospective Studies
  • Quality of Life
  • Postoperative Complications
  • Pain Measurement
  • Orthopedics
  • Male
  • Magnetic Resonance Imaging
  • Humans