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Knee Surg Sports Traumatol Arthrosc. 2012 Aug;20(8):1420-31. doi: 10.1007/s00167-012-2063-x. Epub 2012 Jun 5.

Complications in ankle arthroscopy.

Author information

  • 1Department of Orthopaedic Surgery, Academic Medical Centre, University of Amsterdam, PO Box 22700, 1100 DD, Amsterdam, The Netherlands. m.zengerink@amc.uva.nl

Abstract

PURPOSE:

To determine the complication rate for ankle arthroscopy.

METHODS:

A review of a consecutive series of patients undergoing ankle arthroscopy in our hospital between 1987 and 2006 was undertaken. Anterior ankle arthroscopy was performed by means of a 2-portal dorsiflexion method with intermittent soft tissue distraction. Posterior ankle arthroscopy was performed by means of a two-portal hindfoot approach. Complications were registered in a prospective national registration system. Apart from this complication registry, patient records, outpatient charts and operative reports were reviewed. Patients with a complication were asked to visit our hospital for clinical examination and assessment of permanent damage and persisting complaints.

RESULTS:

An overall complication rate of 3.5% in 1,305 procedures was found. Neurological complications (1.9%) were related to portal placement. Age was a significant risk factor for the occurrence of complications. Most complications were transient and resolved within 6 months. Complications did not lead to functional limitations. Residual complaints did not influence daily activities.

CONCLUSIONS:

Our complication rate is less than half of what has been reported in literature (3.5 vs 10.3%). The use of the dorsiflexion method for anterior ankle arthroscopy can prevent a significant number of complications. Posterior ankle arthroscopy by means of a two-portal hindfoot approach is a safe procedure with a complication rate that compares favourably to that of anterior ankle arthroscopy.

LEVEL OF EVIDENCE:

Retrospective prognostic study, Level II.

PMID:
22669362
[PubMed - indexed for MEDLINE]
PMCID:
PMC3402678
Free PMC Article
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