PMID- 30025527
OWN - NLM
STAT- MEDLINE
DCOM- 20190311
LR  - 20190311
IS  - 1471-2474 (Electronic)
IS  - 1471-2474 (Linking)
VI  - 19
IP  - 1
DP  - 2018 Jul 19
TI  - Arthroscopic debridement of anterior ankle impingement in patients with chronic 
      lateral ankle instability.
PG  - 239
LID - 10.1186/s12891-018-2168-6 [doi]
LID - 239
AB  - BACKGROUND: The aim of this study was to determine the functional and 
      radiological outcomes of arthroscopic treatment of anterior ankle impingement 
      (AAI) in patients with chronic lateral ankle instability (CAI). METHODS: All 
      patients with CAI between June 2012 and May 2015 were invited to participate in 
      this investigation. All of them accepted open modified Brostrom repair of lateral 
      ankle ligaments and were divided into two groups: AAI group (with anterior ankle 
      impingement) and pure CAI group (without anterior ankle impingement). All of them 
      were followed up using American Orthopaedic Foot and Ankle Society Score (AOFAS), 
      Karlsson Ankle Functional Score and Tegner activity score. Ankle dorsiflexion was 
      also examined. X-ray examination was applied to investigate anterior tibiotalar 
      osteophytes. RESULTS: Finally, a total of 60 patients were followed up at a mean 
      of 37 +/- 10 months, including 22 patients in the AAI group and 38 patients in the 
      pure CAI group. Preoperatively, the AAI group had significant lower AOFAS score 
      (62.9 +/- 11.7 vs 72.9 +/- 11.1; p = 0.002) and Tegner activity score (1.5 +/- 0.8 vs 
      2.1 +/- 1.0; p = 0.04) respectively when compared with the pure CAI group. The 
      ankle dorsiflexion of the AAI group (13 +/- 2.1) was also significantly lower than 
      that of the pure CAI group (26.2 +/- 2.1) (p = 0.001). However, there was no 
      significant difference in the AOFAS score or the Karlsson score or the Tegner 
      score or the Ankle dorsiflexion between the two groups postoperatively. The 
      postoperative X-ray images demonstrated complete osteophyte resection in all 
      patients, and no recurrence of osteophyte. CONCLUSION: The functional outcome 
      scores and dorsiflexion had significantly improved postoperatively. Combined 
      treatment of chronic ankle instability and anterior ankle impingement produced 
      satisfactory surgical outcomes in patients with CAI accompanied by anterior ankle 
      impingement symptom.
FAU - Yang, Qining
AU  - Yang Q
AD  - Department of Orthopaedics, The Second Affiliated Hospital of Soochow University, 
      Sanxiang Road No.1055, Suzhou, 215004, Jiangsu, China.
AD  - Department of joint orthopaedic surgery, Jinhua hospital of Zhejiang University 
      (Jinhua municipal central hospital), Jinhua, Zhejiang, 321000, People's Republic 
      of China.
FAU - Zhou, Yongwei
AU  - Zhou Y
AD  - Department of joint orthopaedic surgery, Jinhua hospital of Zhejiang University 
      (Jinhua municipal central hospital), Jinhua, Zhejiang, 321000, People's Republic 
      of China.
FAU - Xu, Youjia
AU  - Xu Y
AD  - Department of Orthopaedics, The Second Affiliated Hospital of Soochow University, 
      Sanxiang Road No.1055, Suzhou, 215004, Jiangsu, China. youjiaxu12@sina.com.
AD  - Department of Orthopedics, 2nd Affiliated Hospital of Soochow University, 
      Sanxiang Road No.1055, Suzhou, Jiangsu, 215000, People's Republic of China. 
      youjiaxu12@sina.com.
LA  - eng
PT  - Journal Article
DEP - 20180719
PL  - England
TA  - BMC Musculoskelet Disord
JT  - BMC musculoskeletal disorders
JID - 100968565
SB  - IM
MH  - Adult
MH  - Ankle Joint/diagnostic imaging/surgery
MH  - Arthroscopy/*methods
MH  - Chronic Disease
MH  - Debridement/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Joint Instability/*diagnostic imaging/*surgery
MH  - Lateral Ligament, Ankle/*diagnostic imaging/*surgery
MH  - Male
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Young Adult
PMC - PMC6053762
OTO - NOTNLM
OT  - Ankle instability
OT  - Anterior ankle impingement
OT  - Functional outcomes
OT  - Osteophyte
OT  - ROM
OT  - Repair
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: This study was approved by the ethics 
      committee of Jinhua hospital of Zhejiang University. Written consent to 
      participate was provided by participants included in the study. CONSENT FOR 
      PUBLICATION: not applicable. COMPETING INTERESTS: The authors declare that they 
      have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral 
      with regard to jurisdictional claims in published maps and institutional 
      affiliations.
EDAT- 2018/07/22 06:00
MHDA- 2019/03/12 06:00
PMCR- 2018/07/19
CRDT- 2018/07/21 06:00
PHST- 2017/11/03 00:00 [received]
PHST- 2018/07/04 00:00 [accepted]
PHST- 2018/07/21 06:00 [entrez]
PHST- 2018/07/22 06:00 [pubmed]
PHST- 2019/03/12 06:00 [medline]
PHST- 2018/07/19 00:00 [pmc-release]
AID - 10.1186/s12891-018-2168-6 [pii]
AID - 2168 [pii]
AID - 10.1186/s12891-018-2168-6 [doi]
PST - epublish
SO  - BMC Musculoskelet Disord. 2018 Jul 19;19(1):239. doi: 10.1186/s12891-018-2168-6.