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

Mardani-Kivi, Mohsen; Mirbolook, Ahmadreza; Mobarakeh, Mahmoud Karimi; Jahromi, Sina Khajeh; Hassanzadeh, Ramazan

doi:10.1053/j.jfas.2014.09.005

Cited by 11 publications

(5 citation statements)

References 14 publications

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“…However, the results revealed no correlation between the BMI changes and functional outcomes. Similar results were reported in two recent studies, which found that obesity did not affect the functional outcomes of patients following arthroscopic treatment of anterolateral ankle impingement and hip arthroscopy [11] [12].…”

Section: Discussionsupporting

confidence: 91%

Changes in Body Mass Index after Arthroscopic Surgery and Its Effect on Functional Outcomes

Polat¹,

Ceylan²,

Kuyucu³

et al. 2016

IJCM

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Objective: Arthroscopic surgery is one of the most common surgical procedures in orthopedic surgery. Post-surgery weight gain is one of the most important factors that affects the functional outcomes of arthroscopic surgery. This study investigated the effect of changes in the body mass index (BMI) in the period after arthroscopic surgery and the potential impact of these changes on functional outcomes. Methods: One hundred-sixty four patients (knee and hip arthroscopy patients) were evaluated retrospectively. Changes in the BMI and functional scores of the patients between the preoperative period and first, third, and sixth months postoperatively were compared. Results: The mean age of the patients was 36.03 (15-64) years, and the mean follow-up was 14.2 months (6-29) months. Postoperative increases in the BMI values in the first, third, and sixth months were statistically significant in the three groups of patients (i.e., meniscal pathology, ligament pathology, and intra-articular hip pathology) (p < 0.001). The correlations of the BMI and functional score changes in the intra-articular hip pathology (hip arthroscopy) (p = 0.564), meniscal pathology (p = 0.854), and ligament pathology groups (p = 0.908) were not statistically significant. Conclusion: Patients may gain weight following arthroscopic surgery of the knee and hip. Orthopedic surgeons should keep this issue in mind and educate patients about how to prevent potential weight gain to ensure it does not adversely affect functional outcomes.

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Section: Discussionsupporting

confidence: 91%

Changes in Body Mass Index after Arthroscopic Surgery and Its Effect on Functional Outcomes

Polat¹,

Ceylan²,

Kuyucu³

et al. 2016

IJCM

View full text Add to dashboard Cite

show abstract

“…As we dug deeper, though, we found that our data mirrored the results of similar studies involving the foot and ankle region. In a case series of 36 patients evaluating the effect of obesity on the arthroscopic findings and the functional outcome after arthroscopic treatment of anterolateral impingement syndrome of the ankle, Mardani-Kivi et al 10 showed that the presence of obesity had no effect on the functional outcome scores at 1-year follow-up and that, regardless of weight, arthroscopic treatment for impingement was equally effective. Strauss et al 18 found no difference in time to union, incidence of complications, or level of function after operatively treated ankle fractures in a cohort of obese (99 patients with BMI of more than 30) and nonobese patients (180 patients with BMI less than 30).…”

Section: Discussionmentioning

confidence: 99%

Effect of Obesity on Outcomes of Forefoot Surgery

et al. 2016

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“…Competitive 9 of the 11 athletic patients could return to their previous level of sports activity while 2 changed their level to less activity. Jerosch (1994) 23 43 Soccer (11), handball (9), volleyball (8), basketball (4), running 29 23 1.5 Mardani-Kivi (2015) 28 36 Volleyball (10), football (20), combat (1), miscellaneous (5) McCrum (2018) 30 29 38 105 Soccer (49), handball (22), running (14), miscellaneous (8) 24 22 resumed sporting activities-2 at lower lever, 1 of whom stopped at 2-y follow-up Rouvillain (2014) 39 24 Handball (4), football (1), dance (4)…”

Section: Competitive 24mentioning

confidence: 99%

Outcomes After Arthroscopic Surgery for Anterior Impingement in the Ankle Joint in the General and Athletic Populations: Does Sex Play a Role?

et al. 2021

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Background: Although anterior ankle impingement is a common pathology within the athletic population, there have been limited data evaluating outcomes of arthroscopic intervention and whether patient sex affects treatment outcomes. Purpose: To provide an overview of the clinical outcomes of arthroscopic procedures used as a treatment strategy for anterior ankle impingement and to determine if patient sex affects outcomes. Study Design: Systematic review. Methods: A systematic literature search of the MEDLINE, Embase, and Cochrane databases was performed during August 2019. The following combination of search terms was utilized: “ankle,” “impingement,” “talus,” “osteophyte,” “arthroscopy,” “surgery,” “procedures,” and “treatment.” Two reviewers independently performed data extraction. Results: A total of 28 articles evaluating 1506 patients were included in this systematic review. Among the studies, 60% (17/28) and 14% (4/28) assessed anterolateral and anteromedial impingement, respectively. Good to excellent results were reported after arthroscopy in patients with anterior ankle impingement, with a success rate of 81.04%. All studies that evaluated functional outcomes (16/16; 100%) cited improvements in American Orthopaedic Foot & Ankle Society scale, visual analog scale, and Foot Function Index. The average complication rate was 4.01%, with the most common complications being mild nerve symptoms and superficial infection. The most common concomitant pathologies included synovitis, osteophytes, meniscoid lesions, and anterior inferior tibiofibular ligament injury. Four studies (15%) failed to report sex as a demographic variable. Only 7 (25%) studies included analysis by sex, with 4 (57%) of these demonstrating differences when comparing outcomes by patient sex. When compared with male patients, female patients exhibited higher rates of traumatic ankle sprains, chondral injury, and chronic ankle instability associated with anterior ankle impingement. Conclusion: Our systematic review demonstrates that arthroscopic treatment for anterior ankle impingement provides good to excellent functional outcomes, low complication rates, and good return-to-sports rates in both the general and the athletic population. This study also reports a lack of statistical analysis evaluating outcomes comparing male and female populations. The included studies demonstrate that, compared with male patients, female patients have higher rates of traumatic ankle sprains, chondral injury, and chronic ankle instability associated with anterior ankle impingement; therefore, particular attention should be paid to addressing such concomitant pathology.

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

Cited by 11 publications

References 14 publications

Changes in Body Mass Index after Arthroscopic Surgery and Its Effect on Functional Outcomes

Changes in Body Mass Index after Arthroscopic Surgery and Its Effect on Functional Outcomes

Effect of Obesity on Outcomes of Forefoot Surgery

Outcomes After Arthroscopic Surgery for Anterior Impingement in the Ankle Joint in the General and Athletic Populations: Does Sex Play a Role?

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