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

Outcomes following minimally invasive dorsal cheilectomy for hallux rigidus: A systematic review.

World J Orthop

June 2024

Department of Orthopedic Surgery, NYU Langone Health, New York, NY 10002, United States.

Article Synopsis
  • Cheilectomy is a common procedure for treating hallux rigidus, but there's no agreement on the outcomes after a minimally invasive form called MIDC.
  • A review of six clinical studies involving 348 patients showed significant improvement in patient-reported outcomes, with scores rising from an average of 68.9 before surgery to 87.1 after.
  • Despite the improvements, there was an 8.4% complication rate and an 8.7% failure rate, highlighting the need for more high-quality studies to better evaluate MIDC efficacy.
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To examine the feasibility and clinical effect of all-inside endoscopic procedure through two portals combined with double-hemisection Achilles tendon lengthening for Achilles tendon contracture. This is a retrospective case series study. From February 2021 to February 2023, the clinical data of 24 patients (30 feet) with Achilles tendon contracture treated with all-inside endoscopic procedure through two portals combined with double-hemisection Achilles tendon lengthening were analyzed retrospectively.

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: Lateral ankle injuries are commonly encountered injuries, and the open modified Broström operation (OMBO) is the primary treatment option. Recently, an arthroscopic modification of the Broström operation (AMBO) was developed; many studies have shown that there are no significant differences in clinical and radiological outcomes between the two surgical methods. However, no studies have been conducted comparing the two surgical methods in terms of return to play (RTP) time.

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Article Synopsis
  • Bucket-handle meniscal tears are primarily treated with arthroscopic surgery, but the timing of the surgery has unclear effects on recovery outcomes.
  • A study involving 60 patients showed that an average wait of 14.4 days for surgery did not significantly affect reoperation rates, pain levels, or return to sports.
  • The findings suggest that surgical timing is not a predictor of post-surgery success, indicating that careful planning and expertise matter more than urgency in treatment.
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Endoscopic calcaneal SpeedBridge technique: Decreased postoperative complication rate in insertional achilles tendinopathy.

Orthop Traumatol Surg Res

September 2024

Clinique Brétéché, 3, rue de la Béraudière, BP 54613, 44046 Nantes cedex 1, France; Centre orthopédique Santy, unité cheville pied, 359, avenue Jean Jaurès, 69007 Lyon, France.

Background: An endoscopic calcaneal SpeedBridge technique was described recently. The primary objective of this study was to report the postoperative complications seen with calcaneal SpeedBridge repair. The secondary objective was to report short- and medium-term functional outcomes.

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Purpose: End-stage ankle arthrosis causes severe pain and limited movement. Tibiotalocalcaneal arthrodesis with arthroscopy-assisted hindfoot nailing can be used to achieve a high union rate and low complication rate. We aimed to examine the early- and mid-term results of patients treated with this technique from various perspectives and to evaluate them by comparing them with the current literature.

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Article Synopsis
  • - The study aimed to compare the recovery outcomes of patients with chronic ankle instability after arthroscopic repair of the anterior talofibular ligament, focusing on those treated with elastic bandages versus lower-leg casts.
  • - A total of 41 patients were assessed using various scales to measure pain and functional outcomes at pre-surgery stages as well as at 6 and 12 months post-surgery.
  • - Results showed that elastic bandage treatment led to less pain and better functional scores at 6 months, with no significant differences in return times to normal activities between the two treatment methods.
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Purpose: To develop a deep learning (DL) model that can simultaneously detect lateral and medial collateral ligament injuries of the ankle, aiding in the diagnosis of chronic ankle instability (CAI), and assess its impact on clinicians' diagnostic performance.

Methods: DL models were developed and externally validated on retrospectively collected ankle magnetic resonance imaging (MRI) between April 2016 and March 2022 respectively at 3 centers. Included patients had confirmed diagnoses of CAI through arthroscopy, as well as individuals who had undergone MRI and physical examinations that ruled out ligament injuries.

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Background This study investigates the functional outcomes of single-bundle arthroscopic anterior cruciate ligament (ACL) reconstruction, comparing the use of two distinct graft sources: peroneus longus (PL) graft and hamstring graft. The choice of graft material in ACL reconstruction is crucial for optimal postoperative results, and this study aims to contribute valuable insights into the comparative efficacy of these two graft types. Method This open-label randomized comparative study involved a carefully selected cohort of patients undergoing single-bundle arthroscopic ACL reconstruction.

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Purpose: To provide return-to-performance outcomes after surgical treatment for medial malleolus stress fractures in the elite athlete. Additionally, to describe an individualised surgical approach in the management of medial malleolus stress fractures.

Methods: Five athletes (six ankles) underwent surgical treatment for a medial malleolus stress fracture.

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Purpose: The purpose of this systematic review and network meta-analysis was to compare the efficacy of different surgical treatments, including open and arthroscopic modified Broström procedures (MB), anatomical reconstructions, and suture tape augmentations (STA), for chronic lateral ankle instability (CLAI).

Methods: We conducted a systematic search for comparative studies that included adult patients with CLAI who underwent open MB, arthroscopic MB, reconstruction with autografts or allografts, and STA. We used a random-effects model to present the NMA results, with mean differences and 95 % confidence intervals (CI) for continuous measures and relative ratios with 95 % CI for dichotomous variables.

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Article Synopsis
  • The study aims to evaluate how effective ultrasonography is in diagnosing injuries to the anterior talofibular ligament (ATFL) and the anterior inferior tibiofibular ligament distal fascicle (ATiFL-DF) in patients with ankle fractures.
  • A retrospective analysis of 51 patients showed that ultrasonography is highly reliable for detecting ATFL injuries (100% sensitivity, 92.3% specificity), while its effectiveness for ATiFL-DF injuries was significantly lower (86.7% sensitivity, 33.3% specificity).
  • The findings suggest that while ultrasonography is a good tool for assessing ATFL injuries, ankle arthroscopy is still needed for accurately diagnosing potential ATiFL-DF injuries.
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Article Synopsis
  • * A study involving 101 patients showed that both treatments had similar post-operative outcomes in terms of AOFAS Score, Karlsson Score, and VAS, but those who underwent ATFL and CFL reconstruction had better control over Anterior Talar Translation and Talar Tilt Angle.
  • * Despite the ATFL and CFL reconstruction being more effective in managing ankle stability, it also resulted in a longer recovery time (6 weeks) compared to MBP (
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Article Synopsis
  • * Researchers analyzed data from 200 patients who underwent AATFLR, identifying 15 potential risk factors and narrowing them down to four significant predictors for functional outcomes: age, sex, sports-related injury, and the method of postoperative immobilization.
  • * The findings show that female patients and those immobilized with a lower-leg cast had worse functional outcomes, underscoring the importance of these factors in AATFLR recovery.
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Medial Cystic Osteochondral Lesions of the Talus Exhibited Lower Sports Levels, Higher Cyst Presence Rate, and Inferior Radiological Outcomes Compared With Lateral Lesions Following Arthroscopic Bone Marrow Stimulation.

Arthroscopy

January 2025

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. Electronic address:

Purpose: To compare the patient-reported outcomes and radiologic outcomes of the patients with medial and lateral cystic osteochondral lesions of the talus (OLTs) following bone marrow stimulation (BMS).

Methods: Patients with cystic OLTs who underwent BMS between January 2016 and February 2021 were retrospectively analyzed, and the minimum follow-up time was more than 24 months. Patients were paired in a 1:1 ratio (medial cystic OLT [MC-OLT]/lateral cystic OLT [LC-OLT]) based on the OLT area within 30 mm, follow-up within 1 year, age within 5 years, and ligament surgery (yes/no).

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Purpose: Ankle sprains remain the most common soft tissue injury presenting to Emergency Departments. Recently, there has been increased awareness and reporting of deltoid ligament injuries in association with injuries to the lateral ligament complex as well as with fibula fractures. This article reviews the currently available literature on the anatomy of the deltoid ligament, clinical and radiological diagnosis of injuries to the deltoid ligament and treatment recommendations.

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Osteochondral Injuries of the Talus.

Clin Podiatr Med Surg

July 2024

Department of Podiatric Surgery, Orthopedic Centers of Colorado, Advanced Orthopedic & Sports Medicine Specialists, 8101 East Lowry Boulevard, Suite 230, Denver, CO 80230, USA.

Article Synopsis
  • Osteochondral lesions of the talus are common injuries often resulting from trauma, particularly ankle sprains and fractures.
  • Due to the talus being mostly made of hyaline cartilage, these injuries have limited healing abilities, necessitating various surgical treatments.
  • The review discusses different open and arthroscopic techniques for treating these injuries, their indications, outcomes, and the authors' personal treatment preferences.
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Purpose: This study aimed to evaluate the effects and interactions of training level and different joints on the outcomes of cadaveric arthroscopic training courses for orthopaedic residents.

Methods: This prospective study enrolled 16 orthopaedic residents who voluntarily participated in a cadaveric training programme involving the shoulder, elbow, wrist, knee and ankle joints. Outcomes were quantitatively assessed using task-specific checklists and the Arthroscopic Surgery Skill Evaluation Tool.

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There are various surgical interventions available for the management of Chronic lateral ankle instability (CLAI). The Broström-Gould procedure has gained widespread recognition among foot and ankle specialists for its favorable surgical outcomes. However, with advancements in anatomical understanding and medical technology, further enhancements to the effectiveness of the Gould procedure are warranted.

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Purpose: Managing the distal tibiofibular (DTF) joint remains a challenge despite recent developments. Ankle arthroscopy is emerging as a diagnostic and therapeutic means. Our study aimed to compare preoperative imaging data and arthroscopic data, with the hypothesis that imaging alone is insufficient to evaluate acute laxity, and with arthroscopy as the reference examination.

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Effect of Cigarette Smoking on Postoperative Outcomes After Arthroscopic Bone Marrow Stimulation for Osteochondral Lesions of the Talus.

Foot Ankle Int

August 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: Bone marrow stimulation (BMS) is presently considered first-line surgical treatment for osteochondral lesions of the talus (OLTs); however, some patients still experience pain or dysfunction after surgery, and the reasons for success or failure remain somewhat unclear. This study aimed to investigate the effect of smoking on postoperative outcomes after arthroscopic BMS for OLTs.

Methods: Consecutive patients with OLTs who underwent BMS between January 2017 and January 2020 were included.

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Article Synopsis
  • Rotational ankle instability affects up to 18% of chronic lateral ankle instability cases, caused by injuries to the deltoid ligament due to a deficiency in the lateral collateral ligament.
  • This study observed 12 patients who underwent arthroscopic ligament reconstruction from 2020 to 2023, measuring outcomes with validated questionnaires before and after surgery.
  • Significant improvements were found in all domains of the Manchester-Oxford Foot Questionnaire, while minor complications occurred, indicating that this surgical method effectively enhances recovery in patients with rotational ankle instability.
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A Segond fracture is a specific type of avulsion fracture involving the lateral aspect of the proximal tibia adjacent to the tibial plateau. Segond fractures are indicative of ligamentous injury in the knee. In this case report, a 29-year-old male delivery driver presented to the ED with acute onset right knee pain after losing control of his motorbike at low speed.

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