Abstract | OBJECTIVE: To evaluate effects of arthroscopic debridement and visco supplement for the treatment of degenerative osteoarthropathy of ankle. METHODS: From October 2008 to May 2012, 30 patients with degenerative osteoarthropathy of ankle were treated with arthroscopy after ineffective treatment with conservative methods. Two patients lost follow-up. Among the patients, 19 patients were male and 9 patients were female, ranging in age from 28 to 56 years old, with a mean of (40.0+ 5.9)years old. Patients who had inflammatory or postinfectious arthritis,rheumatoid, gout, tuberculosis were excluded. Other exclusion criteria included previous arthroscopic treatment for ankle osteoarthropathy, intraarticular corticosteroid injection within the previous 6 months, a major neurologic deficit, serious medical illness and pregnancy. Articular cartilage iijuries were classified according to Outerbridge by the same doctor. Follow procedures were involved in the surgery: synovectomy, debridement or excision of fragments of articular cartilage or chondral flaps and osteophytes that prevented full extension. Microfracture of chondral defects was not performed. Ogilvie-Harris criteria was used to evaluate therapeutic effects. RESULTS: According to Ogilvie-Harris criteria, 10 patients got an excellent results, 14 good, 3 poor and 1 bad. The mean VAS score of pain decreased from preoperative 7.5+/-1.3 to postoperative 2.4+/-2.3. The score of dorsiflexion range (ROM-D) had no obvious change after operation [preoperative(27.0+/-7.3)degree and postoperative(29.0+/-5.6)degree]. The mean Tegner score increased from preoperative 2.7+/-1.3 to postoperative 5.6+/-2.2. CONCLUSION:
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Authors | Chang Liu, Xin-Ge Shi, Yu-Jie Liu, Zhi-Gang Wang, Min Wei |
Journal | Zhongguo gu shang = China journal of orthopaedics and traumatology
(Zhongguo Gu Shang)
Vol. 26
Issue 2
Pg. 115-8
(Feb 2013)
ISSN: 1003-0034 [Print] China |
PMID | 23678756
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adult
- Ankle Joint
(physiopathology, surgery)
- Arthroscopy
(methods)
- Debridement
(methods)
- Female
- Humans
- Male
- Middle Aged
- Osteoarthritis
(physiopathology, surgery)
- Range of Motion, Articular
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