Effect of simultaneous bilateral surgery or simultaneous arthroscopic ankle lateral ligament repair in hindfoot endoscopic surgery for posterior ankle impingement syndrome in athletes

IF 1.9 3区医学 Q2 ORTHOPEDICS Foot and Ankle Surgery Pub Date : 2024-08-01 DOI:10.1016/j.fas.2024.04.003

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Abstract

Background

Posterior ankle impingement syndrome (PAIS) is sometimes complicated by bilateral cases and lateral ankle ligament injuries. Reports on bilateral surgery for PAIS and simultaneous surgery for lateral ankle ligament injury are scarce in the literature.

Methods

We present a 2-year follow-up of 76 athletic patients who underwent endoscopic hindfoot surgery for PAIS. Patients were divided into those who underwent unilateral or simultaneous bilateral surgery and PAIS surgery alone or simultaneous bilateral PAIS surgery without arthroscopic ankle lateral ligament repair.

Results

All patients returned to full athletic activities postoperatively. There was no difference in all subscales of the SAFE-Q score between groups except for mean days after surgery for full return to athletic activities.

Conclusion

Simultaneous bilateral surgery and simultaneous arthroscopic lateral ankle ligament repair had no negative effect on subjective clinical evaluation 2 years after surgery in hindfoot endoscopic surgery for PAIS.

Level of Evidence

III, retrospective case-control study.

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后足内窥镜手术治疗运动员后踝撞击综合征时同时进行双侧手术或同时进行关节镜下踝外侧韧带修复术的效果

后踝撞击综合征（PAIS）有时会因双侧病例和外侧踝关节韧带损伤而变得复杂。有关 PAIS 双侧手术和同时进行外侧踝关节韧带损伤手术的文献报道很少。我们对 76 名因 PAIS 而接受内窥镜后足手术的运动员患者进行了为期两年的随访。患者被分为接受单侧或双侧同时手术的患者，以及仅接受 PAIS 手术或双侧同时接受 PAIS 手术但未接受关节镜下踝关节外侧韧带修复的患者。所有患者术后均恢复了全面的体育活动。除术后完全恢复运动能力的平均天数外，各组间SAFE-Q评分的所有分量表均无差异。同时进行双侧手术和同时进行关节镜下外侧踝关节韧带修复对后足内窥镜手术治疗PAIS术后2年的主观临床评估没有负面影响。III，回顾性病例对照研究。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.