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Hindfoot endoscopy for the treatment of posterior ankle impingement syndrome: A safe and reproducible technique
Affiliation:1. Department of Orthopaedic and Trauma Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain;2. Unit of Foot and Ankle Surgery, Etzelclinic, Pfäffikon, Schwyz, Switzerland;3. Department of Orthopaedic and Trauma Surgery, Hospital Asepeyo Sant Cugat, Sant Cugat del Vallés, Barcelona, Spain;4. Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain;5. Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA;1. Avon Orthopaedic Centre, North Bristol Trust, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK;2. University Hospitals Bristol, Bristol Royal Infirmary, UK;1. Department of Trauma, Hand and Reconstructive Surgery, Jena University Hospital, Jena, Germany;2. Department of Trauma, Hand and Reconstructive Surgery, HELIOS Clinical Centre, Erfurt, Germany;3. Stryker Trauma AG, Selzach, Switzerland;4. Stryker Trauma GmbH, Schönkirchen, Germany;5. Department of Trauma and Reconstructive Surgery, BG Centres Bergmannstrost, Halle, Germany;6. Department of Foot and Ankle Surgery, St. Vincenz and Elisabeth Hospital Mainz, Germany;1. Department of Orthopedy, Saint-Luc University Hospital-UC Louvain, Hippocrate Avenue 10/2942, B-1200 Brussels, Belgium;2. Department of Pathology, Saint-Luc University Hospital-UC Louvain, Hippocrate Avenue 10/2942, B-1200 Brussels, Belgium;3. Department of Radiology, Saint-Luc University Hospital-UC Louvain, Hippocrate Avenue 10/2942, B-1200 Brussels, Belgium;1. Orthopaedic and Traumatology Division, “G. d’Annunzio” University, Via dei Vestini 35, 66013 Chieti, Italy;2. Orthopaedic Division, Clinica Montallegro, Via M.Te Zovetto 27, 16145 Genoa, Italy;1. North Middlesex University Hospital, London, UK;2. Frenchay Hospital, Bristol, UK;3. Jinnah Hospital, Lahore, Pakistan
Abstract:IntroductionPosterior ankle impingement is a clinical syndrome characterized by posterior ankle pain that is mainly presented on plantar flexion. The aim of this study is to compare and evaluate the results of posterior ankle impingement treated by endoscopic hindfoot posterior portals.Materials and methodsBetween 2004 and 2009, a total of 38 endoscopic hindfoot procedures were performed to treat posterior ankle impingement. The indication for procedure was posterior ankle impingement syndrome in all cases. There were 38 patients, 17 females and 21 males. Mean age was 27.6 years (16–59 years). Mean follow-up was 27.6 months (12.5–52 months). The results were evaluated following the AOFAS score. Data statistical analysis was performed using the Student's t-test.ResultsThe main preoperative AOFAS score increased from 67.42 (range 41–91) to 97.13 (range 84–100) at follow-up. No complications were reported in any case.ConclusionHindfoot endoscopy is a reproducible and safe procedure which offers excellent outcomes in posterior ankle impingement syndrome.
Keywords:Posterior ankle impingement  Hindfoot endoscopy  Os trigonum  Stieda's process  Ankle arthroscopy
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