naa a22 4500 510818234 CHVBK 20180411083518.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s12306-013-0297-5 doi (NATIONALLICENCE)springer-10.1007/s12306-013-0297-5 Ankle surgery: focus on arthroscopy [Elektronische Daten] [M. Cavallo, S. Natali, A. Ruffilli, R. Buda, F. Vannini, F. Castagnini, E. Ferranti, S. Giannini] Background: The ankle joint can be affected by several diseases, with clinical presentation varying from mild pain or swelling to inability, becoming in some cases a serious problem in daily life activities. Arthroscopy is a widely performed procedure in orthopedic surgery, due to the low invasivity compared to the more traditional open field surgery. The ankle joint presents anatomical specificities, like small space and tangential view that make arthroscopy more difficult. Methods: From 2000 more than 600 ankle arthroscopies were performed at our institution. The treated pathologies were mostly impingement syndrome and osteochondral lesions, and in lower percentage instabilities and ankle fractures. Results: In the impingement, the AOFAS scores at FU showed an increase compared to scores collected preoperatively, with improvement of symptoms in most of the cases, good or excellent results in 80% of cases. In ligament injuries, AOFAS score significatively improved at the maximum follow-up. In fractures all patients had an excellent AOFAS score at maximum follow-up, with complete return to their pre-injury activities. In osteochondral injuries, the clinical results showed a progressive improvement over time with the different performed procedures. Control MRI and bioptic samples showed a good regeneration of the cartilage and bone tissue in the lesion site. Conclusions: The encouraging obtained clinical results, in line with the literature, show how the arthroscopic technique, after an adequate learning curve, may represent a precious aid for the orthopedic surgeon and for the patient's outcome. Level of evidence: Case series, Level IV. Istituto Ortopedico Rizzoli, 2013 Ankle nationallicence Arthroscopy nationallicence Impingement nationallicence Ligament injuries nationallicence Fractures nationallicence Osteochondral injuries nationallicence Cavallo M. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut Natali S. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut Ruffilli A. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut Buda R. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut Vannini F. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut Castagnini F. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut Ferranti E. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut Giannini S. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut MUSCULOSKELETAL SURGERY Springer Milan 97/3(2013-12-01), 237-245 2035-5106 97:3<237 2013 97 12306 https://doi.org/10.1007/s12306-013-0297-5 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-013-0297-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cavallo M. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut NATIONALLICENCE 700 1- Natali S. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut NATIONALLICENCE 700 1- Ruffilli A. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut NATIONALLICENCE 700 1- Buda R. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut NATIONALLICENCE 700 1- Vannini F. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut NATIONALLICENCE 700 1- Castagnini F. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut NATIONALLICENCE 700 1- Ferranti E. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut NATIONALLICENCE 700 1- Giannini S. Clinical Orthopaedic and Traumatology Unit I, Rizzoli Orthopaedic Institute, Bologna, Italy aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97/3(2013-12-01), 237-245 2035-5106 97:3<237 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer