Arthroscopic synovectomy in the treatment of functional ankle instability: Outcomes and gait analysis
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer-Verlag France
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background Natural consequence of repetitive ankle sprains is the chronic ankle instability. Objective of this study was to clarify the gait patterns of functional ankle instability (FAI) patients after arthroscopic synovectomy, but also assessment of postoperative recovery. Patients and methods Arthroscopic synovectomy was performed to 14 FAI patients with history of unilateral repetitive ankle sprains, pain, and subjective sensation of instability. At a mean 54 months of follow-up (27-84), clinical assessment was conducted with respect to pain, number of ankle sprains, and American Orthopaedics Foot and Ankle Society (AOFAS) scores. Gait analysis was conducted to determine the temporospatial, kinetic and kinematic parameters at the last follow-up. Results Mean AOFAS scores increased from 68 (range 55-75) to 89 (range 77-100) points (P<0.01). Mean ankle sprains was 13 in a period of 23 (range 14-48) months (0.58 per month) and decreased to three sprains in a mean time period of 54 months (0.053 per month) (P<0.01). Mean preoperative and postoperative VAS scores were 8.0 and 2.9, respectively (P<0.01). During gait analysis, no significant differences were found in ankle joint, including foot progression angles, ankle dorsi-plantar flexion degrees and ground reaction forces (P>0.01). Among temporospatial parameters, only double support time showed a significant difference (P<0.01). All patients were satisfied from the procedure and returned to their previous activity level. Conclusion Improved long-term clinical results and scores were obtained in our patient group when compared with the preoperative scores. Also, three-dimensional gait analysis showed that the involved ankles demonstrate similar gait patterns to the uninvolved ankles in patients with FAI. © Springer-Verlag France 2014.
Açıklama
Anahtar Kelimeler
Ankle, Arthroscopy, Gait analysis, Instability, Synovectomy, adult, age distribution, ankle instability, ankle pain, ankle sprain, arthroscopic surgery, Article, clinical article, clinical effectiveness, female, functional assessment, gait, human, male, pain assessment, patient satisfaction, postoperative period, preoperative period, priority journal, scoring system, synovectomy, treatment outcome, treatment response, visual analog scale, aged, ankle, ankle injury, arthroscopy, biomechanics, complication, follow up, injury, joint instability, middle aged, pathophysiology, retrospective study, synovium, videorecording, young adult, Adult, Aged, Ankle Injuries, Ankle Joint, Arthroscopy, Biomechanical Phenomena, Female, Follow-Up Studies, Gait, Humans, Joint Instability, Male, Middle Aged, Retrospective Studies, Sprains and Strains, Synovial Membrane, Video Recording, Young Adult
Kaynak
European Journal of Orthopaedic Surgery and Traumatology
WoS Q Değeri
Scopus Q Değeri
Q1
Cilt
25
Sayı
1
