Winona Health Podiatry, Winona, Minnesota, U.S.A..
Arthroscopy. 2013 Dec;29(12):2049-54. doi: 10.1016/j.arthro.2013.08.036.
The purpose of this systematic review was to determine the incidence of complications after posterior hindfoot endoscopy.
Ovid/Medline and Google Scholar were systematically searched for pertinent references to be included. In addition, we hand-searched common American and European orthopaedic and podiatric surgical journals for relevant articles. Articles considered for inclusion were published in peer-reviewed journals, described complications after posterior hindfoot endoscopy using a standard 2-portal technique, and involved 25 or more patients treated.
We identified 335 potentially relevant publications, of which 5 met our inclusion criteria. A total of 452 ankles (452 patients) were included in this study. Overall, 17 complications (3.8%) occurred, with only 8 (1.8%) requiring additional treatment or operative intervention.
The endoscopic approach for the treatment of hindfoot and ankle pathology is safe with a low incidence of complications. However, additional studies with prospective designs should be undertaken to determine the long-term patient outcomes using validated scoring systems.
Level IV, systematic review of Level III and IV studies.
本系统评价旨在确定后足后内窥镜检查后的并发症发生率。
我们系统地检索了 Ovid/Medline 和 Google Scholar 以纳入相关参考文献。此外，我们还对常见的美国和欧洲骨科和足病外科期刊进行了手工检索，以寻找相关文章。纳入的文章发表在同行评议的期刊上，使用标准的双入口技术描述了后足后内窥镜检查后的并发症，并涉及 25 例或以上的患者。
我们共发现 335 篇可能相关的文献，其中 5 篇符合纳入标准。共有 452 例踝关节（452 例患者）纳入本研究。总体而言，17 例（3.8%）发生并发症，仅 8 例（1.8%）需要额外治疗或手术干预。
对于后足和踝关节疾病的治疗，内窥镜方法是安全的，并发症发生率较低。然而，应该进行前瞻性设计的更多研究，以使用经过验证的评分系统确定长期的患者结局。
IV 级，对 III 级和 IV 级研究的系统评价。
