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Wiad Lek 2022 ;75(5 pt 1):1197-1201

MILITARY MEDICAL CLINICAL CENTER OF THE NORTHERN REGION, KHARKIV, UKRAINE.

Objective: The aim: To conduct a comparative analysis of the results of arthroscopic debridement with drilling (ADD) versus osteochondral autologous transplantation (OAT) in the treatment of talar osteochondral lesions and defects (OHLD) based on the assessment of the function of the ankle joint, the level of pain and changes in the range of movements (ROM) in the affected joint.

Patients And Methods: Materials and methods: The study included 40 patients with OHLD, with an average area of 3.14 cm2 and a depth of 1. Read More

Zhongguo Gu Shang 2022 Jun;35(6):538-42

Department of Orthopaedics, People's Hospital of Wuxing District, Huzhou 313000, Zhejiang, China.

Objective: To explore clinical effects of carpal canal endoscopy in treating patients with plantar fasciopathy who failed by conservative treatment.

Methods: From August 2018 to August 2019, 50 patients with plantar fascia were divided into two groups and 25 patients in each group. In carpal canal endoscopy group, included 11 males and 14 females, aged from 39 to 67 years old with an average of(57. Read More

Arch Orthop Trauma Surg 2022 Jun 21. Epub 2022 Jun 21.

Radiology Department, Peking University Third Hospital, No.49 North Garden Road, Haidian, Beijing, 100191, China.

Introduction: Chronic lateral ankle instability (CLAI) could accompany with latent syndesmotic diastasis (LSD), which is difficult to distinguish before surgery. Tibiofibular interval width and extravasation of joint fluid ('lambda sign') on MRI are widely used in the diagnosis of syndesmotic injury, but the reliability of these methods in distinguishing the associated LSD in CLAI was rarely studied. Our objective was to compare the diagnostic value of the measurement of the transverse tibiofibular interval and 'lambda sign' on MRI in distinguishing LSD in CLAI and to investigate the radiological predictor that best matched the intraoperatively measured syndesmotic width. Read More

Foot Ankle Orthop 2022 Apr 12;7(2):24730114221103263. Epub 2022 Jun 12.

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

Background: Osteochondral lesions of the talus (OLTs) are a common condition found in patients with chronic ankle pain after previous ankle sprains. Surgical management is indicated after conservative management has failed.

Hypothesis/purpose: This study evaluates the influence of body mass index (BMI) on the early clinical outcomes of arthroscopic debridement and microfracture of OLTs. Read More

Am J Transl Res 2022 15;14(5):3261-3268. Epub 2022 May 15.

Department of Hand and Foot Micro Orthopedics, The Second People's Hospital of Dongying City Dongying 257335, Shandong, China.

Objective: To explore the efficacy of arthroscopic-assisted reduction and internal fixation (ARIF) and traditional open reduction and internal fixation in the treatment of talus fractures.

Methods: This study retrospectively analyzed the clinical data of 92 patients with talus fractures admitted to our hospital. The patients were divided into a control group (treated with traditional open reduction and internal fixation) and a research group (with ARIF) with 46 cases in each. Read More

Clin Orthop Surg 2022 Jun 17;14(2):227-235. Epub 2021 Aug 17.

Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea.

Backgroud: Arthroscopic partial meniscectomy (APM) continues to be the popular treatment for meniscal tears, but recent randomized controlled trials have questioned its efficacy. To provide more evidence-based criteria for patient selection, we undertook this study to identify prognostic factors associated with clinical failure after APM for medial meniscus tears.

Methods: Medical records of 160 patients followed up for at least 5 years after APM for medial meniscal tears were retrospectively reviewed. Read More

Zhonghua Wai Ke Za Zhi 2022 Jun;60(6):546-551

Department of Orthopedics, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China.

To investigate the surgical technology and clinical efficacy of using the all-inside subtalar arthroscopy through three portals combined with rafting screws technique for the treatment of the calcaneal fractures of Sanders Ⅱ and Ⅲ. The clinical data of 33 patients (33 feet) with intra-articular displaced calcaneal fractures treated by modified all-inside arthroscopic from March 2017 to March 2019 at Department of Orthopedics,Xuzhou Central Hospital were retrospectively analyzed.There were 19 male patients,and 14 female patients,aged (32. Read More

J Child Orthop 2022 Apr 30;16(2):136-140. Epub 2022 Apr 30.

Department of Orthopaedics, Hôpital des Enfants, CHU de Toulouse, France.

Purpose: Calcaneonavicular coalition accounts for more than half of all tarsal coalitions. Resection of calcaneonavicular coalition by an open approach is the standard treatment. Treatment of calcaneonavicular coalition by an arthroscopic approach appears promising. Read More

SICOT J 2022 26;8:22. Epub 2022 May 26.

Orthopaedic Sports Medicine Center, Department of Orthopaedic Surgery, University of Ioannina, Ioannina 45110, Greece.

Introduction: Extremity dominance is one of the intrinsic factors that have been identified for ankle sprains. Electromechanical delay (EMD) is an integral part of the peroneal motor response and, therefore, substantial in preventing ankle sprains. This study aimed to investigate the effect of laterality on EMD times before and after fatigue. Read More

Front Surg 2022 9;9:816669. Epub 2022 May 9.

Department of Sports Medicine, Peking University Third Hospital, Beijing, China.

Purpose: This study aims to evaluate the mid- to long-term outcome of concurrent arthroscopic treatment of osteochondral lesion (OCL) and open anatomical repair of lateral ankle ligaments for severe acute ankle sprain patients and compare them to the outcome of those without OCL.

Methods: A total of 166 patients with grade III acute lateral ankle ligament injuries underwent concurrent ankle arthroscopy and open anatomic ligament repair. Forty-three patients (group A) with OCL underwent arthroscopic treatment followed by open ligament repair. Read More

Case Rep Orthop 2022 16;2022:6946860. Epub 2022 May 16.

Department of Orthopedics, Civil Hospital, Bhavnagar, Gujarat, India.

Osteochondritis dissecans (OCD) is a disorder of the subchondral bone affecting the adjacent articular cartilage that may lead to cartilage and bone fragment detachment. It commonly occurs in the knee joint, elbow, wrist, and ankle. Although several surgical concepts have been described to treat OCD (fragment fixation, microfracture, autologous chondrocyte implantation (ACI), and mosaicplasty), no gold standard treatment has been accepted for managing OCD. Read More

Lab Invest 2022 May 25. Epub 2022 May 25.

Department of Rheumatology, Huashan Hospital, Fudan University, Shanghai, China.

Macrophage polarization mediates the development of inflammatory diseases. However, the polarization status at various stages of gout is not fully understood. Our study aimed to define the evolution of macrophage polarization in acute and chronic gout. Read More

Am J Sports Med 2022 Jul 25;50(8):2134-2144. Epub 2022 May 25.

Department of Orthopedic Surgery, Wonkwang University Hospital, Iksan, South Korea.

Background: In patients with chronic ankle instability, it is important to repair the anterior talofibular ligament (ATFL) at the anatomic origin site. However, there are limited reports on the clinical outcomes according to anatomic ATFL repair.

Purpose: To compare the clinical outcomes after arthroscopic ATFL repair according to whether the anchor is fixed at an anatomic position. Read More

Arthroscopy 2022 May 20. Epub 2022 May 20.

Orthoregeneration is defined as a solution for orthopaedic conditions that harnesses the benefits of biology to improve healing, reduce pain, improve function, and optimally, provide an environment for tissue regeneration. Options include: drugs, surgical intervention, scaffolds, biologics as a product of cells, and physical and electromagnetic stimuli. The goal of regenerative medicine is to enhance the healing of tissue after musculoskeletal injuries as both isolated treatment and adjunct to surgical management, using novel therapies to improve recovery and outcomes. Read More

Zhonghua Yi Xue Za Zhi 2022 May;102(19):1472-1475

Department of Foot and Ankle Surgery, Xuzhou Renci Hospital, Xuzhou 221004, China.

This study aims to explore the clinical efficacy of arthroscopic-assisted reduction combined with robot-navigated nail placement in the treatment of talar neck fractures. The clinical data of 13 patients with talar neck fracture in Xuzhou Benevolent Hospital from January 2018 to January 2021 were analyzed in the retrospective study. Among them, there were 9 males and 4 females, aged (36±12) years; there were 8 cases suffered on the right and 5 cases on the left. Read More

J Foot Ankle Surg 2022 Apr 10. Epub 2022 Apr 10.

Department of Orthopedic Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. Electronic address:

Supramalleolar osteotomy (SMO) is an effective treatment for intermediate-stage varus ankle osteoarthritis (OA). This study aimed to investigate how clinical outcomes were associated with radiological changes and cartilage regeneration shown on arthroscopy before and after SMO in patients with intermediate-stage varus ankle OA. Twenty-six cases with intermediate-stage varus ankle OA underwent SMO with at least 1 year of postoperative follow-up. Read More

J ISAKOS 2022 04 14;7(2):62-66. Epub 2022 Jan 14.

Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden.

Background: The evidence supporting best practice guidelines in the field of cartilage repair of the ankle is based on both low quality and low levels of evidence. Therefore, an international consensus group of experts was convened to collaboratively advance toward consensus opinions based on the best available evidence on key topics within cartilage repair of the ankle. The purpose of this article is to report the consensus statements on "terminology for osteochondral lesions of the ankle" developed at the 2019 International Consensus Meeting on Cartilage Repair of the Ankle. Read More

Knee Surg Sports Traumatol Arthrosc 2022 May 6. Epub 2022 May 6.

Foot and Ankle Research and Innovation Laboratory, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Purpose: This study aim was to detect the impact of lateral ankle ligaments injury on syndesmotic laxity when evaluated arthroscopically in a cadaveric model. The null hypothesis was that lateral ankle ligament injury does not affect the stability of syndesmosis.

Methods: Sixteen fresh-frozen above-knee amputated cadaveric specimens were divided into two groups of eight specimens that underwent arthroscopic evaluation of the distal tibiofibular joint. Read More

J Ultrasound 2022 May 5. Epub 2022 May 5.

Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, 467-8601, Japan.

Purpose: The functional role of the calcaneofibular ligament (CFL) is still controversial. We aimed to investigate the anatomical features of the CFL on sonography and the elastic modulus of the CFL in different ankle positions using ultrasound shear-wave elastography (SWE).

Methods: In 14 cadaveric ankles, the angle of the CFL with respect to the long axis of the fibula was measured in the following ankle positions: neutral (N), 30° plantar flexion (PF), and 20° dorsiflexion (DF). Read More

Acta Orthop Belg 2022 Mar;88(1):121-125

Management of symptomatic osteoarthritis (OA) of the ankle in patients with haemophilia can be challenging. Arthroscopic ankle arthrodesis has been shown in non-haemophiliac patients to provide similar or superior rates of fusion to open ankle fusion. However, the literature regarding ankle arthrodesis in patients with haemophilia is limited. Read More

J Med Radiat Sci 2022 May 3. Epub 2022 May 3.

Department of Orthopaedic Surgery, Box Hill Hospital, Box Hill, Victoria, Australia.

Ankle diastasis injuries, or ankle syndesmotic injuries, are common among athletes who usually experience a traumatic injury to the ankle. Long-term complications are avoidable when these injuries are diagnosed promptly and accurately treated. Whilst ankle arthroscopy remains the gold standard diagnostic modality for ankle diastasis injuries, imaging modalities are still widely utilised due to the treatment having greater accessibility, being less invasive and the most cost effective. Read More

Eur Rev Med Pharmacol Sci 2022 04;26(8):2944-2948

IRCCS Istituto Ortopedico Galeazzi, Sport Traumatology and Minimally Invasive Surgery Center, Milan, Italy.

Objective: The aim of the present study was to retrospectively compare the outcomes of two minimally invasive surgical techniques in patients with isolated anterior talofibular ligament (ATFL) lesion suffering from chronic ankle instability (CAI).

Patients And Methods: Thirty-six patients with ATFL lesion suffering from CAI were treated at our department from 2010 to 2017 and retrospectively reviewed after an average time of 4 years (2 to 9 years). Eighteen patients underwent a four-step operative protocol, including: synovectomy, debridement of ATFL lesion borders, capsular shrinkage, and 21-day immobilization and non-weightbearing. Read More

Biomed Res Int 2022 19;2022:6234561. Epub 2022 Apr 19.

Department of Orthopedics, Huashan Hospital, Fudan University, 12 Middle Wulumuqi Rd, Shanghai 200040, China.

Background: This study is aimed at exploring the prognostic value of preoperative lymphocyte-to-monocyte ratio (LMR), an index of systemic inflammation before operation, in ankle lateral ligament repair (ALLR).

Methods: A total of 213 I-III degrees injuries of lateral ankle ligament patients received ALLR and were followed up for more than 2 years. Univariate and multivariable linear regression analysis was used to determine the relationship between preoperative LMR and postoperative recovery. Read More

Arthrosc Sports Med Rehabil 2022 Apr 8;4(2):e629-e638. Epub 2022 Feb 8.

Department of Orthopedic Surgery, NYU Langone Health, New York, New York, U.S.A.

Purpose: To investigate the short-term clinical outcomes and satisfaction for the first set of patients at our institution receiving in-office needle arthroscopy (IONA) for the treatment of posterior ankle impingement syndrome (PAIS).

Methods: A retrospective cohort study was conducted to evaluate patients who underwent IONA for PAIS between January 2019 and January 2021. Clinical outcomes were evaluated using the Foot and Ankle Outcome Score (FAOS) and Patient-Reported Outcomes Measurement Information System Pain Interference, and Pain Intensity scores. Read More

Arthrosc Tech 2022 Apr 28;11(4):e669-e673. Epub 2022 Mar 28.

Ohio State University Wexner Medical Center, Columbus, Ohio, U.S.A.

Joint-spanning external fixation in acute ankle trauma is a means to provide temporary stability and restoration of length, alignment, and articular congruency. This allows for soft-tissue consolidation before definitive fixation to decrease the risk of wound complications. Traction is commonly used during definitive fixation to aid in fracture reduction and to maintain reduction during placement of internal hardware. Read More

Arthrosc Tech 2022 Apr 16;11(4):e545-e550. Epub 2022 Mar 16.

NYU Langone Health, NYU Langone Orthopedic Hospital, New York, New York.

The anterior talofibular ligament (ATFL) is the most frequently injured lateral ligament of the ankle, and up to 20% of patients with ankle sprains may require surgical intervention to correct chronic lateral ankle instability. There has been increased interest in arthroscopic lateral ankle ligament repair techniques to minimize postoperative pain and expedite recovery. Additionally, the use of suture-tape augmentation may allow for improved recovery in those with ATFL reconstruction. Read More

Orthop Traumatol Surg Res 2022 Apr 24:103303. Epub 2022 Apr 24.

Centre Ostéo-Articulaire des Cèdres, Institut Grenoblois de Chirurgie du pied et de la cheville, 5 rue des Tropiques, 38130 Echirolles, France.

The past decade has seen the development of numerous arthroscopic techniques for ankle ligament repair or reconstruction in the treatment of chronic lateral ankle instability. Arthroscopy allows the assessment and treatment of intra-articular pathologies and is associated with faster functional recovery. The open surgery technique described by Blanchet, combining reinsertion of the lateral collateral ligament with reinforcement by an extensor retinaculum flap, has long proven its effectiveness. Read More

Orthop Surg 2022 May 18;14(5):977-983. Epub 2022 Apr 18.

Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.

Objective: To specify indications and contraindications of the modified percutaneous inferior extensor retinaculum augmentation (PIERA) technique for chronic ankle instability cases, and to introduce technique details and report surgical outcomes and complications.

Methods: The PIERA technique was performed on seven patients with chronic ankle instability (four females and three males, 36.4 ± 15. Read More

Georgian Med News 2022 Mar(324):7-14

Federal State Autonomous Educational Institution of Higher Education "Peoples' Friendship University of Russia", Moscow; GBUZ "City Clinical Hospital. V.M. Buyanova of the Moscow Department of Health ", Moscow, Russia.

This study aimed to evaluate the results of treatment of patients with anterolateral chronic instability after arthroscopic stabilization of the ankle joint using anchor fixators, to determine the risk factors for the recurrence of instability after surgery and methods of their diagnosis. The study involved 28 patients from 2016 to 2020. performed 28 arthroscopic operations for chronic lateral instability. Read More

Rev Esp Cir Ortop Traumatol 2022 Mar-Apr;66(2):105-112. Epub 2021 Dec 1.

Servicio de Cirugía Ortopédica y Traumatología, Complejo Asistencial de Segovia, Segovia, España.

Background: Arthroscopic tibiotalocalcaneal arthrodesis with a retrograde nail is performed as a minimally invasive technique in patients without improvement in conservative treatment of osteoarthritis. Complications and hospital stay after surgery are less using this technique when they are compared with open ones.

Materials And Methods: We review retrospectively from 2016 to 2019 seven patients subjected to a posterior arthroscopic tibiotalocalcaneal arthrodesis with a retrograde intramedullary nail. Read More