Gundersen Health System Medical Foundation, La Crosse, Wisconsin, U.S.A.
Department of Orthopaedics, Podiatry and Sports Medicine, Gundersen Health System, La Crosse, Wisconsin, U.S.A.
Arthroscopy. 2014 Feb;30(2):256-9. doi: 10.1016/j.arthro.2013.10.014. Epub 2013 Dec 30.
To quantify the overall incidence of complications related to arthroscopic treatment of anterolateral soft-tissue ankle impingement.
Electronic databases and relevant peer-reviewed sources, including OvidSP/Medline (http://ovidsp.tx.ovid.com) and Google Scholar, were systematically searched for the terms "anterolateral" AND "ankle" AND "impingement" OR "soft-tissue impingement" AND "arthroscopy." In addition, we manually searched common American and European (including British) orthopaedic and podiatric scientific literature for relevant articles. Studies were eligible for inclusion only if they included the following: a standard 2-portal anterior arthroscopic approach, a minimum mean follow-up of 12 months, and detailed descriptions of all complications encountered.
After we considered all the potentially eligible articles, 15 (28.8%) met our inclusion criteria for the study. There were a total of 396 patients (397 ankles), with 16 total complications (4%), 3 (0.8%) of which were major. The weighted mean patient age was 31.2 years, and the weighted mean follow-up was 33.7 months.
The results of this systematic review showed an overall incidence of complications of 4%. The complications were categorically divided into major and minor complications, with a very low incidence of major complications (0.8%) and an acceptably low incidence of minor complications (3.3%). On the basis of these findings, arthroscopic treatment of anterolateral ankle soft-tissue impingement is a very safe procedure when indicated.
Level IV, systematic review of Level IV studies.
定量分析关节镜治疗前外侧踝关节软组织撞击综合征相关并发症的总体发生率。
系统检索电子数据库和相关同行评议来源，包括 OvidSP/Medline（http://ovidsp.tx.ovid.com）和 Google Scholar，使用的检索词为“前外侧”和“踝关节”和“撞击”或“软组织撞击”和“关节镜”。此外，我们还手动检索了常见的美国和欧洲（包括英国）骨科和足病学文献，以查找相关文章。只有符合以下标准的研究才被纳入：标准的 2 个前入口关节镜入路、至少 12 个月的平均随访期以及详细描述所有遇到的并发症。
在考虑了所有可能符合条件的文章后，有 15 篇（28.8%）符合我们的研究纳入标准。共有 396 例患者（397 例踝关节），总共有 16 例并发症（4%），其中 3 例（0.8%）为主要并发症。加权平均患者年龄为 31.2 岁，加权平均随访时间为 33.7 个月。
这项系统评价的结果显示，并发症的总体发生率为 4%。并发症被分为主要和次要并发症，主要并发症（0.8%）的发生率非常低，可接受的低次要并发症（3.3%）发生率。根据这些发现，当适应证明确时，关节镜治疗前外侧踝关节软组织撞击综合征是一种非常安全的手术。
IV 级，对 IV 级研究的系统评价。
