The incidence of complications after posterior hindfoot endoscopy.

Arthroscopy

Winona Health Podiatry, Winona, Minnesota, U.S.A.. Electronic address:

Published: December 2013

Purpose: The purpose of this systematic review was to determine the incidence of complications after posterior hindfoot endoscopy.

Methods: Ovid/Medline and Google Scholar were systematically searched for pertinent references to be included. In addition, we hand-searched common American and European orthopaedic and podiatric surgical journals for relevant articles. Articles considered for inclusion were published in peer-reviewed journals, described complications after posterior hindfoot endoscopy using a standard 2-portal technique, and involved 25 or more patients treated.

Results: We identified 335 potentially relevant publications, of which 5 met our inclusion criteria. A total of 452 ankles (452 patients) were included in this study. Overall, 17 complications (3.8%) occurred, with only 8 (1.8%) requiring additional treatment or operative intervention.

Conclusions: The endoscopic approach for the treatment of hindfoot and ankle pathology is safe with a low incidence of complications. However, additional studies with prospective designs should be undertaken to determine the long-term patient outcomes using validated scoring systems.

Level Of Evidence: Level IV, systematic review of Level III and IV studies.

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http://dx.doi.org/10.1016/j.arthro.2013.08.036DOI Listing

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