Department of Orthopedic Surgery, University Hospital Centre Zagreb, Zagreb, Croatia.
Andrija Štampar School of Public Health, University of Zagreb School of Medicine, Zagreb, Croatia.
J Foot Ankle Surg. 2023 Nov-Dec;62(6):963-966. doi: 10.1053/j.jfas.2023.07.003. Epub 2023 Jul 22.
Ankle arthroscopy is a surgical technique still most commonly performed with a tourniquet. In 2017, we published a randomized controlled trial comparing anterior ankle arthroscopy with and without the tourniquet use. The results showed feasibility of performing the anterior ankle arthroscopy without the tourniquet, as well as comparable functional outcomes at 3- and 6-month follow-up visits, regardless of the tourniquet use. The aim of the current study was to evaluate mid-term functional outcomes after a 5-year period and to document patient satisfaction with the surgery. All 49 available patients from the original study were asked to attend examination at the 60-month follow-up visit. Patients were assessed with the same functional scores, as well as with additional Munich Ankle Questionnaire (MAQ) to assess the postoperative subjective and objective outcome and Abdelatif questionnaire to evaluate patient satisfaction. Any new complications were noted. At the 60-month follow-up visit, 39 (79.6%) patients were available for examination. No significant difference was found between the groups regarding the functional outcomes or the MAQ. In comparison with the 3- and 6-month follow-up visits, no further improvement or decline of functional outcomes was present. High patient satisfaction was found in both groups. No new complications were noted during the follow-up period. Similar improvement in both groups reveals that the anterior ankle arthroscopy can be performed without the tourniquet with no negative impact on mid-term functional outcomes. In addition, high patient satisfaction can be expected even after 5 years from surgery, regardless of the tourniquet use.
踝关节镜检查术通常仍采用止血带进行手术。2017 年，我们发表了一项随机对照试验，比较了使用和不使用止血带行踝关节前侧关节镜检查术。结果表明，在不使用止血带的情况下进行踝关节前侧关节镜检查术是可行的，并且在 3 个月和 6 个月的随访中，无论是否使用止血带，功能结果都相当。本研究的目的是评估 5 年后的中期功能结果，并记录患者对手术的满意度。原研究中的 49 名符合条件的患者均被要求参加 60 个月的随访检查。患者接受了相同的功能评分，以及附加的慕尼黑踝关节问卷（MAQ）以评估术后的主观和客观结果，以及 Abdelatif 问卷以评估患者满意度。记录任何新的并发症。在 60 个月的随访中，39 名（79.6%）患者可接受检查。两组在功能结果或 MAQ 方面无显著差异。与 3 个月和 6 个月的随访相比，功能结果没有进一步改善或下降。两组患者的满意度均较高。在随访期间未发现新的并发症。两组的相似改善表明，在不使用止血带的情况下进行踝关节前侧关节镜检查术不会对中期功能结果产生负面影响。此外，即使在手术后 5 年，无论是否使用止血带，都可以预期患者的满意度较高。
