2,901 results match your criteria: "Ankle Arthroscopy"

Background: Minimally invasive cheilectomy is becoming a more prominent surgical approach in the management of mild to moderate hallux rigidus. This systematic review aims to analyze and present the current literature on patient-reported outcomes following minimally invasive (MIS) cheilectomy for mild to moderate hallux rigidus.

Methods: PubMed, Cochrane Central Register of Controlled Trials, and Scopus databases were searched in April 2024.

View Article and Find Full Text PDF

Objective: The purpose of this prospective study was to evaluate the quality of the reparative cartilage during second-look needle arthroscopy following talar osteoperiostic grafting from the iliac crest (TOPIC) or autologous osteochondral transplantation (AOT) procedure for the management of large osteochondral lesions (OCLs) of the talus.

Design: Prospective case series.

Methods: Patients who underwent second-look needle arthroscopy following either TOPIC or AOT procedure were prospectively recruited when they needed a second look.

View Article and Find Full Text PDF

Introduction: There are various surgical techniques applied for the treatment of osteochondral lesions of the talus (OLT). The mosaicplasty technique is one of the most commonly used methods for deep lesions. The all-arthroscopic technique with scaffold and autograft bone taken from the tibial plafond is a novel method as an alternative to the mosaicplasty.

View Article and Find Full Text PDF

Arthroscopic Anatomic Reconstruction of the Interosseous Talocalcaneal Ligament Using a Gracilis Autograft for Subtalar Instability: 6- to 12-Year Retrospective Follow-up.

Foot Ankle Int

December 2024

Department of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.

Background: Several surgical techniques have been reported of subtalar instability (STI), but it remains a controversial topic without long-term clinical evidence. This study aimed to report the all-inside arthroscopic anatomic interosseous talocalcaneal ligament (ITCL) reconstruction technique and its long-term outcomes in STI patients with confirmed ITCL rupture.

Methods: A retrospective study was conducted on consecutive series of STI patients who underwent all-inside arthroscopic anatomic reconstruction of the ITCL using a gracilis autograft between January 2010 and December 2016.

View Article and Find Full Text PDF

Objective: Rotator cuff retear after arthroscopy repair is a difficult complication that is often due to poor tendon-bone healing. Decellularized amniotic membrane (DAM) has a variety of bioactive substances which have great potential to enhance tendon-bone healing. However, DAM has three layers, of which the middle basement layer is dense and thick.

View Article and Find Full Text PDF

Purpose: To explore the efficacy and feasibility of arthroscopy combined with bone tunnel technique in treating Berndt and Harty stage III or IV osteochondral lesions of the talus (OLT).

Methods: A retrospective analysis was conducted on the clinical data of 21 patients with Berndt and Harty stage III or IV OLT who underwent surgical treatment at our institution from September 2017 to September 2022. Under arthroscopy, the displaced talar osteochondral lesion was restored.

View Article and Find Full Text PDF

Purpose: To investigate the clinical effect of medial meniscus posterior root repair combined with centralization technique in treating medial meniscus posterior root tears (MMPRTs).

Methods: A retrospective analysis was conducted on 87 patients with MMPRTs treated in the Department of Joint Surgery of Jinhua Central Hospital from January 2020 to May 2022. Thirty-four patients were males and 53 were females, with an overall average age of 56.

View Article and Find Full Text PDF

Recent advances in the management of chronic ankle instability.

Chin J Traumatol

November 2024

Department of Sports Medicine, Huashan Hospital, Shanghai, 200040, China. Electronic address:

Article Synopsis
  • * The review discusses CAI in-depth, covering its pathophysiology, prevalence, diagnosis, treatment strategies, and rehabilitation methods with a focus on comprehensive clinical assessment.
  • * Surgical treatment for CAI emphasizes the importance of anatomical repair of the anterior talofibular ligament, which shows better outcomes and lower osteoarthritis risk compared to non-anatomical methods.
View Article and Find Full Text PDF

Anterior ankle impingement.

Orthop Traumatol Surg Res

November 2024

Clinique de l'Orangerie, 29 allée de la Robertsau, 67000 Strasbourg, France. Electronic address:

Our understanding of the pathophysiology of anterior ankle impingement has steadily progressed since the princeps description almost 70 years ago. The same is true of diagnosis and treatment, which have greatly changed over time. The present study provides an update on this pathology, addressing the following questions: Anterior ankle impingement is suspected in case of anterior ankle pain reproducible by palpation and exacerbated by dorsiflexion imposed by the examiner or squatting, and Molloy's sign.

View Article and Find Full Text PDF

Calcaneus fractures, epidemiology and treatment - Data on 3 949 fractures from the Swedish Fracture Register.

Foot Ankle Surg

November 2024

Surgeon, Department of Orthopaedics and Trauma, Sahlgrenska University Hospital and Department of Clinical Research, University of Gothenburg, Sweden.

Background: Due to changing population demographics and evolving treatment strategies updated epidemiological data are needed. This study aims to provide nationwide epidemiology data regarding calcaneus fractures of all types and treatment.

Methods: The study is based on data from the Swedish Fracture Register and include patients ≥ 18 with a calcaneus fracture sustained between April 2012 and June 2022.

View Article and Find Full Text PDF

Surgical repair or reconstruction of lateral ankle ligaments is indicated in patients with persistent ankle instability, with arthroscopic/endoscopic treatment becoming more frequent. Although presurgical imaging of the ankle is always standard procedure, more is needed to understand the evolution of the repaired ligament or the tendinous graft to help improve length of postoperative time and functional results. This review describes the normal ultrasound aspects and possible complications of repaired/reconstructed ankle ligaments after an all-inside endoscopic repair/reconstruction of the anterior talofibular ligament and the calcaneofibular ligament.

View Article and Find Full Text PDF
Article Synopsis
  • Precontoured cancellous allograft wedges are increasingly used in foot and ankle surgeries due to their ease of use and potential to shorten surgery time, but concerns about high resorption rates have been raised.
  • A study reviewed 334 patients from 2017 to 2022, finding that 7.2% experienced graft resorption and 2.9% had nonunion, often influenced by factors like older age and BMI over 30.
  • The overall complication rate was 10%, highlighting the need for clinicians to inform patients about these risks when considering these grafts for surgery.
View Article and Find Full Text PDF

Background: Chronic syndesmotic instability (CSI) can be associated with severe long-term pain and disability. This study aimed to investigate the risk factors associated with the development of CSI in patients who underwent conservative treatment after the first episode of acute ankle sprain (AAS) that did not result in a satisfactory outcome.

Methods: We retrospectively analyzed the clinical data of patients who underwent ankle arthroscopy for suspected CSI between January 2020 and September 2023.

View Article and Find Full Text PDF

Background: The anatomical location for lateral ligament reconstruction remains a significant challenge. With the development of arthroscopic technology, arthroscopic-assisted lateral ligament reconstruction can significantly facilitate the correct localization of anatomical points. However, there is limited evidence on the clinical efficacy of arthroscopic ligament reconstruction compared with percutaneous ligament reconstruction.

View Article and Find Full Text PDF
Article Synopsis
  • Synovial lipomatosis is a rare, benign condition affecting the synovial lining of joints, primarily the knee, and is characterized by the presence of mature fat infiltrating the joint tissue, causing pain and swelling.
  • It typically leads to joint movement restrictions and can occur in other joints like the hip and ankle, but diagnosis is often challenging due to its rarity and unclear causes.
  • Treatment options range from conservative management to surgical intervention; in this case, a 47-year-old male underwent surgery for severe symptoms, including arthroscopic debridement and synovectomy.
View Article and Find Full Text PDF

Female Athletes Are Underrepresented in Anterior Cruciate Ligament Reconstruction Rehabilitation Studies: A Systematic Review.

Arthroscopy

November 2024

Department of Orthopedic Surgery and Sports Medicine, University of Kansas Health System, Kansas City, Kansas, U.S.A.; Department of Health, Sport, and Exercise Sciences, University of Kansas, Lawrence, Kansas, U.S.A.

Article Synopsis
  • This systematic review aimed to assess how female athletes are represented in research focusing on rehabilitation after ACL reconstruction (ACLR), analyzing various factors like study population and research themes.
  • Out of 33 studies examined, women made up only 44.6% of ACLR participants, with no research specifically focused on females and a significant lack of attention paid to factors like menstrual status.
  • The review concluded that females, who have a higher risk of ACL injury, are significantly underrepresented in these studies, particularly in terms of performance outcomes and the influence of sex hormones on rehabilitation.
View Article and Find Full Text PDF

Introduction: Posterior ankle impingement is a common cause of chronic ankle pain. Although nonoperative treatment is initially preferred, there are surgical options if the symptoms are persistent. Minimally invasive arthroscopic procedures reduce surgical trauma and enable an early return to routine activities.

View Article and Find Full Text PDF

Purpose: To assess the distribution and mechanisms of lower-extremity injuries among high school and college age rugby players presenting to U.S. emergency departments (EDs) from 2008 to 2022.

View Article and Find Full Text PDF

Purpose: To perform a systematic review about the varying definitions of "failure" of hip arthroscopy (HA) in the current literature and to provide a recommendation for the standardization of defining failure of HA.

Methods: A systematic search of electronic databases was conducted to identity Level I-IV clinical studies on HA failure published between January 2016 and July 2021 according to Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Inclusion criteria consisted of studies of patients who underwent an arthroscopic hip procedure and included a definition of failure.

View Article and Find Full Text PDF

Purpose: To compare the clinical and radiographic outcomes and complications between medial opening wedge (MOW) and lateral closing wedge (LCW) high tibial osteotomies (HTOs) in the setting of medial compartment osteoarthritis with genu varus alignment.

Methods: This study was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Studies that reported on MOW or LCW HTOs in the setting of medial compartment osteoarthritis were included.

View Article and Find Full Text PDF

We would like to inform of an error in the reported incidences in our published article, Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register. Specifically, the incidences for rotator cuff repair, partial meniscectomy, ankle arthroscopy, distal radius fracture fixation, and wrist arthroscopy surgeries were calculated using a too small population size. Accordingly, corrected calculations resulted in higher incidence values for these surgeries, impacting Table 3 and Figure 3, which now show accurate incidence rates.

View Article and Find Full Text PDF

Purpose: To provide a comprehensive systematic review to determine the impact of early weight-bearing compared with late weight-bearing on the clinical outcomes of patients who underwent osteochondral lesion of the talus (OLT) and were treated with autologous osteochondral transplantation (AOT) and to review the rate of return to sports and/or activities, patient satisfaction, and complications.

Methods: A systematic review of the PubMed, Embase, and The Cochrane Library databases was performed according to the Preferred Reporting Items for Systemic Reviews and Meta-Analyses guidelines. Publications were divided into group A, in which patients were allowed early weight-bearing within the first 6 weeks, whereas group B consisted of patients who were only allowed weight-bearing after 6 weeks.

View Article and Find Full Text PDF

Background: There are few reports on the intra- and interobserver agreement and parameters for the diagnostic accuracy of ultrasound (US) imaging for chronic lateral ankle instability (LAI). The purpose of this study was to investigate the reliability and validity of US imaging for identifying anterior talofibular ligament (ATFL) remnants in patients with LAI.

Methods: A total of 547 ankles from 406 patients underwent surgery for LAI between 2019 and 2022.

View Article and Find Full Text PDF

Background: Previous studies have revealed that early postoperative rehabilitation of chronic lateral ankle instability is just as crucial as surgical intervention. Immediate weightbearing has yielded good clinical results; however, randomized controlled studies have been limited.

Purpose: To compare the clinical outcomes of patients with immediate weightbearing after lateral ankle ligament repair with those with delayed weightbearing after 2 weeks in a prospective randomized controlled study.

View Article and Find Full Text PDF