Ankle arthroscopy: Follow-up study of 33 ankles—effect of physical therapy and obesity

Japour, Christopher; Vohra, Praveen K.; Giorgini, Renato; Sobel, Ellen

doi:10.1016/s1067-2516(96)80097-4

Cited by 23 publications

(8 citation statements)

References 24 publications

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“…Different arthroscopic findings were documented in other studies. Japour et al (15) reported hypertrophic synovitis, adhesive bands, chondral bands with synovitis, osteophytes, and abnormalities in the talar dome. Urguden et al (16) reported that most patients had only anterolateral localized synovial hypertrophy in the anterolateral aspect of the ankle joint.…”

Section: Discussionmentioning

confidence: 99%

Effect of Obesity on Arthroscopic Treatment of Anterolateral Impingement Syndrome of the Ankle

Mardani-Kivi

Mirbolook

Mobarakeh

et al. 2015

The Journal of Foot and Ankle Surgery

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Section: Discussionmentioning

confidence: 99%

Effect of Obesity on Arthroscopic Treatment of Anterolateral Impingement Syndrome of the Ankle

Mardani-Kivi

Mirbolook

Mobarakeh

et al. 2015

The Journal of Foot and Ankle Surgery

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“…Systematic reviews have shown a current clinical success percentage of 86%. The affect of patient and defectspecific prognostic factors such as lesion size [11,12], location [11,40], age [11,20,43], or body weight [12,18] is inconclusive owing to the absence of well-designed prospective studies [18,19]. The exact mechanisms of the healing process are unknown, which makes prediction of clinical outcome difficult [36,48].…”

Section: Introductionmentioning

confidence: 99%

No Effect of Hole Geometry in Microfracture for Talar Osteochondral Defects

Kok

Tuijthof

Dunnen

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Débridement and bone marrow stimulation is an effective treatment option for patients with talar osteochondral defects. However, whether surgical factors affect the success of microfracture treatment of talar osteochondral defects is not well characterized. Questions/purposes We hypothesized (1) holes that reach deeper into the bone marrow-filled trabecular bone allow for more hyaline-like repair; and (2) a larger number of holes with a smaller diameter result in more solid integration of the repair tissue, less need for new bone formation, and higher fill of the defect. Methods Talar osteochondral defects that were 6 mm in diameter were drilled bilaterally in 16 goats (32 samples). In eight goats, one defect was treated by drilling six 0.45-mm diameter holes in the defect 2 mm deep; in the remaining eight goats, six 0.45-mm diameter holes were punctured to a depth of 4 mm. All contralateral defects were treated with three 1.1-mm diameter holes 3 mm deep, mimicking the clinical situation, as internal controls. After 24 weeks, histologic analyses were performed using Masson-Goldner/Safranin-O sections scored using a modified O'Driscoll histologic score (scale, 0-22) and analyzed for osteoid deposition. Before histology, repair tissue quality and defect fill were assessed by calculating the Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request. The authors certify that the animal protocol for this investigation was approved by the Academic Medical Center and VU University, Amsterdam, and that all investigations were conducted in conformity with ethical principles of research. The design and creation of surgical templates was performed at TU Delft, Delft, The Netherlands. Animal operations were performed at VU University, Amsterdam, The Netherlands. Histology was performed at ACTA, Amsterdam, The Netherlands. Micro-CT acquisition and analyses were performed at Erasmus MC, Rotterdam, The Netherlands. Analyses were performed at Academic Medical Center, Amsterdam, The Netherlands. Conclusions The results indicate that the geometry of microfracture holes does not influence cartilage healing in the caprine talus. Clinical Relevance Bone marrow stimulation technique does not appear to be improved by changing the depth or diameter of the holes.

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“…The added value of physical therapy has insuffi ciently been documented. A small retrospective series showed that patients receiving more than 1 month physical therapy scored better on a 7-point ankle scale as compared to the ones who were not treated with physical therapy [ 9 ]. In the absence of high-level evidence, in professional football players, physical therapy with a focus on restoration of dorsifl exion, reduction of swelling, functional training, and supervised return to sport specifi c training after 6-8 weeks is advised.…”

Section: Rehabilitationmentioning

confidence: 99%

Anterior Ankle Impingement

Tol¹,

D’Hooghe²,

Leeuw³

et al. 2014

Sports and Traumatology

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The anterior ankle impingement syndrome is the most common cause of chronic ankle pain in football players. It is characterized by anterior ankle pain on forced dorsifl exion movements. Clinical investigation reveals pain on palpation along the anterolateral and/or anteromedial ankle joint line. There is recognizable pain on forced dorsifl exion which is limited as compared to the contralateral side. In patients with anteromedial impingement, the plain X-rays are often negative and are therefore insuffi cient. An additional oblique view is required for visualization of the anteromedial osteophytes. The effectiveness of conservative treatment has not yet

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Ankle arthroscopy: Follow-up study of 33 ankles—effect of physical therapy and obesity

Cited by 23 publications

References 24 publications

Effect of Obesity on Arthroscopic Treatment of Anterolateral Impingement Syndrome of the Ankle

Effect of Obesity on Arthroscopic Treatment of Anterolateral Impingement Syndrome of the Ankle

No Effect of Hole Geometry in Microfracture for Talar Osteochondral Defects

Anterior Ankle Impingement

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