caa a22 4500 605457883 CHVBK 20210128100225.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00167-013-2629-2 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2629-2 Arthroscopic treatment for posterior tibial tendon lesions with a posterior approach [Elektronische Daten] [Yinghui Hua, Shiyi Chen, Yunxia Li, Zhiying Wu] Purpose: To evaluate clinical results of arthroscopic treatment for posterior tibial tendon (PTT) lesions using a posterior approach. Methods: Sixteen patients with PTT lesions underwent arthroscopic treatment using a posterior approach. After routine posterior arthroscopy to expose the posterior tibiotalar compartment, the posterior subtalar compartment, and the flexor hallucis longus tendon, the shaver was then moved through the flexor hallucis longus tendon to detect and treat the PTT lesion, including synovectomy, debridement, and repair of the PTT. American Orthopaedic Foot and Ankle Society Ankle-Hindfoot (AOFAS) scale and visual analog scale (VAS) for subjective satisfaction were used to evaluate pre- and post-operative clinical results. Results: Fifteen patients (94%) (15 ankles) were followed for a mean of 26±10months. No patients experienced vascular or nerve complications during or after the operation. Mean AOFAS score improved from 49±12 points preoperatively to 84±8.5 points post-operatively (p=0.000). Mean VAS improved from 6.2±1.7 preoperatively to 2.4±1.3 post-operatively (p=0.000). There were three patients (20%) with excellent outcomes, eight patients (53%) with good outcomes, three patients (20%) with fair outcomes, and one patient (7%) with a poor outcome at follow-up. Conclusions: A posterior arthroscopic approach can provide a safe, reliable technique for detecting and treating PTT lesions and a satisfactory surgical outcome. The technique is an alternative to PTT tendoscopy. Level of evidence: IV. Springer-Verlag Berlin Heidelberg, 2013 Posterior tibial tendon lesions nationallicence Arthroscopic treatment nationallicence Posterior approach nationallicence Hua Yinghui Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, No 12, Wulumuqi Zhong Rd, 200040, Shanghai, China aut Chen Shiyi Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, No 12, Wulumuqi Zhong Rd, 200040, Shanghai, China aut Li Yunxia Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, No 12, Wulumuqi Zhong Rd, 200040, Shanghai, China aut Wu Zhiying Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, No 12, Wulumuqi Zhong Rd, 200040, Shanghai, China aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 879-883 0942-2056 23:3<879 2015 23 167 https://doi.org/10.1007/s00167-013-2629-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2629-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hua Yinghui Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, No 12, Wulumuqi Zhong Rd, 200040, Shanghai, China aut NATIONALLICENCE 700 1- Chen Shiyi Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, No 12, Wulumuqi Zhong Rd, 200040, Shanghai, China aut NATIONALLICENCE 700 1- Li Yunxia Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, No 12, Wulumuqi Zhong Rd, 200040, Shanghai, China aut NATIONALLICENCE 700 1- Wu Zhiying Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, No 12, Wulumuqi Zhong Rd, 200040, Shanghai, China aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/3(2015-03-01), 879-883 0942-2056 23:3<879 2015 23 167