Reynaert P, Gelen G, Geens G
University Hospital Pellenberg, Department of Orthopedics, K. U. Leuven, Belgium.
Acta Orthop Belg. 1994;60(4):384-8.
We report the results of the arthroscopic treatment of anterior ankle impingement in 13 consecutive subjects. Our patients were treated conservatively for an average period of 30 months, ranging from 2 to 120 months. They did not respond to corticosteroid infiltrations, NSAIDS or physical therapy. Debridement consisting of the removal of the bony spurs with a burr and shaving of hypertrophic synovial tissue was carried out. All 13 patients were reviewed 3 to 41 months after the operation, with a mean follow-up of 19 months. Of the ankles, 92% showed good (38%) or excellent (54%) results. Only one ankle rated fair. Out of the 13 patients, 10 went back to their preoperative sports after a mean of 4 months. We had no complications. In patients where conservative management fails, arthroscopic debridement of the anterior ankle compartment is an effective treatment.
我们报告了连续13例患者踝关节前撞击症的关节镜治疗结果。我们的患者接受了平均30个月（范围为2至120个月）的保守治疗。他们对皮质类固醇注射、非甾体抗炎药或物理治疗均无反应。进行了清创术，包括用磨钻去除骨赘和刮除肥厚的滑膜组织。所有13例患者在术后3至41个月接受复查，平均随访19个月。在这些踝关节中，92%的结果为良好（38%）或优秀（54%）。只有一个踝关节评分为一般。在13例患者中，10例在平均4个月后恢复了术前的运动。我们没有出现并发症。对于保守治疗失败的患者，踝关节前间隙的关节镜清创术是一种有效的治疗方法。
