PMID- 35494284
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 4
IP  - 2
DP  - 2022 Apr
TI  - Electrothermal Denervation of Synovial and Capsular Tissue Does not Improve 
      Postoperative Pain in Arthroscopic Debridement of Anterior Ankle Impingement-A 
      Prospective Randomized Study.
PG  - e575-e583
LID - 10.1016/j.asmr.2021.11.019 [doi]
AB  - PURPOSE: The purpose of the study was to investigate the added value of 
      electrothermal denervation (ETD) in arthroscopic debridement of anterior ankle 
      impingement. METHODS: Between May 2019 and December 2020, 58 patients who 
      received arthroscopic anterior decompression for the impingement of the anterior 
      tibiotalar joint were randomized to Group A (n = 29) with ETD of synovial and 
      capsular tissue of the ankle and Group B (n = 29) without ETD. Patients included 
      37 men and 21 women, with a mean age of 42 years. The pain, range of motion 
      (ROM), and function were recorded using the visual analog scale foot and ankle 
      (VAS FA), the Foot Function Index (FFI), and the American Orthopaedic Foot and 
      Ankle Society Score (AOFAS), both preoperatively and postoperatively. RESULTS: 
      Twenty-four hours after surgery, the pain level at rest using the VAS (worst 10 
      points) was 3.8 points on average (Group A: 3.7, Group B: 3.9). After 6 weeks, 
      the mean VAS FA was 62.6 points, and ROM improved by an average of 9.1 degrees  (Group A: 
      9.8 degrees , Group B: 8.6 degrees ; P > .05), the mean FFI was 40.4 points (Group A: 37.8, Group 
      B: 42.8), the mean AOFAS was 73.1 points (Group A: 71.3, Group B: 75.1). All 
      postoperative scores improved significantly compared with preoperative scores. No 
      significant differences were observed between groups. CONCLUSIONS: The hypothesis 
      of pain reduction with the use of ETD was refuted. The addition of ETD as part of 
      the arthroscopic debridement of the anterior ankle impingement did not show any 
      significant superiority in terms of the collected scores (VAS-FA, FFI, and AOFAS) 
      at 24 hours and 6 weeks after the surgery and resulted in a comparable length of 
      stay in the hospital and incapacity to work. LEVEL OF EVIDENCE: Level I, 
      prospective cohort study.
CI  - (c) 2021 The Authors.
FAU - Fischer, Sebastian
AU  - Fischer S
AD  - Department of Foot and Ankle Surgery Berufsgenossenschaftliche Unfallklinik 
      Frankfurt am Main, Frankfurt, Germany.
FAU - Weber, Sina
AU  - Weber S
AD  - Department for Trauma and Orthopaedic Surgery Berufsgenossenschaftliche 
      Unfallklinik Frankfurt am Main, Frankfurt, Germany.
FAU - Gramlich, Yves
AU  - Gramlich Y
AD  - Department for Trauma and Orthopaedic Surgery Berufsgenossenschaftliche 
      Unfallklinik Frankfurt am Main, Frankfurt, Germany.
FAU - Blank, Marc
AU  - Blank M
AD  - Department of Foot and Ankle Surgery Berufsgenossenschaftliche Unfallklinik 
      Frankfurt am Main, Frankfurt, Germany.
FAU - Buckup, Johannes
AU  - Buckup J
AD  - Department of Sporttraumatology-Knee and Shoulder Surgery 
      Berufsgenossenschaftliche Unfallklinik Frankfurt am Main, Frankfurt, Germany.
FAU - Manegold, Sebastian
AU  - Manegold S
AD  - Department of Foot and Ankle Surgery Berufsgenossenschaftliche Unfallklinik 
      Frankfurt am Main, Frankfurt, Germany.
FAU - Hoffmann, Reinhard
AU  - Hoffmann R
AD  - Department for Trauma and Orthopaedic Surgery Berufsgenossenschaftliche 
      Unfallklinik Frankfurt am Main, Frankfurt, Germany.
LA  - eng
PT  - Journal Article
DEP - 20220105
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC9042778
EDAT- 2022/05/03 06:00
MHDA- 2022/05/03 06:01
PMCR- 2022/01/05
CRDT- 2022/05/02 06:29
PHST- 2021/07/05 00:00 [received]
PHST- 2021/11/13 00:00 [accepted]
PHST- 2022/05/02 06:29 [entrez]
PHST- 2022/05/03 06:00 [pubmed]
PHST- 2022/05/03 06:01 [medline]
PHST- 2022/01/05 00:00 [pmc-release]
AID - S2666-061X(21)00248-0 [pii]
AID - 10.1016/j.asmr.2021.11.019 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2022 Jan 5;4(2):e575-e583. doi: 
      10.1016/j.asmr.2021.11.019. eCollection 2022 Apr.