Second-look arthroscopic findings and clinical outcomes after management of intra-articular lesions in acute ankle fractures with arthroscopy |
| |
| Institution: | 1. Department of Orthopedic Surgery, College of Medicine, Inje University, Busan Paik Hospital, 75, Bokji-ro, Busanjin-gu, Busan 47392, Republic of Korea;2. Departments of Diagnostic Radiology, of Medicine, Inje University, Busan Paik Hospital, 75, Bokji-ro, Busanjin-gu, Busan 47392, Republic of Korea;1. Department of Public Health, Orthopaedic and Traumatology Unit, “Federico II” Naples University, Napoli, Italy;2. Clinique Megival, Saint Aubin sur Scie, France;3. Maison de Santé Protestante de Bordeaux Bagatelle, Talence, France;4. Centre du Pied, Marseille, France;5. CHP Saint Gregoire, Saint-Grégoire, France;6. Institut de Formation en Masso-Kinésithérapie “Saint-Michel”, Paris, France;7. Clinique de l’Union, Centre de Chirurgie du Pied et de la Cheville, Saint-Jean, France;1. Service d’orthopédie Traumatologie, Centre Hospitalier Universitaire de Rouen, 37 Boulevard Gambetta, 76000 Rouen, France;2. Centre d’Etudes des Transformations des Activités Physiques et Sportives 3832, Unité de Formation et de Recherche en Sciences et Techniques des Activités Physiques et Sportive, Boulevard Siegfried 76821 Mont Saint Aignan, France;3. Clinique du Cèdre, 950 Rue de la Haie, 76230 Bois-Guillaume, France;4. Institut de Biologie Clinique Laboratoire Immunologie, Centre Hospitalier Universitaire de Rouen, 37 Boulevard Gambetta, 76000 Rouen, France;5. Ramsay Santé, Clinique De L''union, Centre de Chirurgie de la Cheville et du Pied. Boulevard Ratalens, 31240 Saint-Jean, France;1. Department of Trauma & Orthopaedics, Great Western Hospital Foundation Trust, Swindon, Wiltshire, SN3 6BB England, United Kingdom;2. School of Clinical Sciences, Faculty of Health, Queensland University of Technology, Kelvin Grove 4065, Australia;1. School of Medical Sciences, State University of Campinas – UNICAMP, Rua Tessália Vieira de Camargo, 126, Cidade Universitária “Zeferino Vaz”, 13083-887 - Campinas, SP, Brazil;2. Instituto Vita, Rua Mato Grosso, 306 1º andar, 01239-040 - São Paulo, SP, Brazil;3. Hospital Sancta Maggiore / Prevent Senior, Rua Maestro Cardim, 1137 - Liberdade, 01323-001 - São Paulo, SP, Brazil;1. The Department of Trauma & Orthopaedic Surgery, Princess Royal Hospital, Shrewsbury & Telford Hospital NHS Trust, Shropshire, United Kingdom;2. The Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, Gothenburg University, Sweden;3. Sports Orthopaedic Research Center-Copenhagen (SORC-C), Department of Orthopaedic Surgery, Copenhagen University Hospital, Amager-Hvidovre, Denmark;4. The Department of Radiology & Imaging, Princess Royal Hospital, Shrewsbury & Telford Hospital NHS Trust, Shropshire, United Kingdom |
| |
| Abstract: | BackgroundAnatomically surgical reduction of ankle fractures does not always result in a clinically favorable outcome. Arthroscopic examination combined with treatment of intra-articular lesion may related to clinical outcomesObjectivesThe purpose of the present study was to review initial and second look arthroscopic finding of acute ankle fracture and to evaluate clinical outcomes.ResultsLauge-Hansen classification system of ankle fractures included supination-external rotation type (n = 24), supination-adduction type (n = 3), pronation-external rotation type (n = 7), and pronation-abduction type (n = 6), total 40 ankles. Osteochondral lesions were found in 25 ankles (62%) with an initial arthroscopic finding of acute ankle fracture. Newly discovered chondral lesions in secondary arthroscopy were found in 17 cases. According to the Ferkel and Cheng staging at secondary arthroscopy, 4 of 25 ankles with osteochondral lesions of the talus were deteriorating (more than stage D). In terms of ICRS overall repair grades, 5 ankles (20%) were abnormal (grade III). Diffuse synovitis and arthrofibrosis were found in 12 and 7 ankles, respectively, in secondary arthroscopy, and correlations were found between AOFAS scores, VAS and intra-articular lesions.ConclusionSecond-look arthroscopic examination combined with treatment of intra-articular lesion such as arthrofibrosis and osteochondral lesion arising from ankle fracture surgery may consider to improve clinical outcomes. |
| |
| Keywords: | Fracture Injury Arthroscopy Ankle Osteochondral lesions |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
