Issue: 2023, Vol. 28, No. 4
COMPLICATIONS AFTER ARTHROSCOPIC TREATMENT FOR ANTERIOR IMPINGEMENT SYNDROME OF THE ANKLE JOPINT
- Keywords
- ankle joint, arthroscopy, complications.
- Abstarct
- Anterior impingement syndrome of the ankle joint (ISAJ) is one of the most frequent reasons for chronic pain syndrome development in this anatomic area. Arthroscopic debridement and ankle joint (AJ) decompression allowed to restore its function in a short time. But the prevalence and structure of this invasive technique are not sufficiently described in national literature. Objective – to determine frequency and structure of complications connected with anterior arthroscopy of ankle joint (АAJ), performed regarding anterior ISAJ. Material and methods. 175 patients (56% men) with anterior ISAJ were examined; they were treated in orthopedic department of Central Clinical Hospital (Office of the President) and Central Clinical Hospital by St. Alexy in 2013–2019. Average period of observation was amounting to 2,5 years. Average age of patients – 42 years (from 28 tо 56 years). Functional status of ankle joint was estimated by AOFAS scale. Results and discussion. Complications were developed in 11 (6,2 %) patients. In the most cases (7 patients) neurological complications which were connected with compression-ischemic neuropathies of superficial peroneal nerve were marked. Synovial fistula was formed in 2 examined persons and 2 patients had superficial infection also. Statistically significant disorders in joint function in patients with complications were not detected. Conclusion. Acceptable complication rate, their transitory nature, preservation of joint function even in their development allowed to recommend arthroscopic treatment for the elimination of pain syndrome in patients with anterior ISAJ.
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