Artroscopia posterior do tornozelo para o tratamento das lesões osteocondrais do talo 7, 8 e 9 de Raikin

Autores/as

  • Jorge Pablo Batista
  • Jorge Javier del Vecchio
  • Rodrigo Maestu
  • Luciano Patthauer
  • Lucas Daniel Logioco
  • Tun Hing Lui

Palabras clave:

Talus/injuries, Ankle joint/surgery, Arthroscopy/methods, Osteochondral lesión

Resumen

Objective: Osteochondral injuries of the ankle are relatively rare lesions that primarily involve the cartilage and subchondral bone of the talus, and are presented with a variable incidence ranging from 0.09 to 4%. The aim of our study is to show the clinical results of a consecutive case series of osteochondral lesions of Zones 7,8,9 (Raikin) of the talus treated by posterior ankle arthroscopy. We hypothesize that posterior ankle arthroscopy is an effective means to treat posterior talar osteochondral lesion. Methods: We analyzed prospectively the performance of 24 patients who underwent posterior endoscopic treatment of osteochondral lesions of the talus. The average period of follow-up was 26.2 months (18-84). The Ankle and Hindfoot AOFAS score was used and Patient satisfaction is evaluated. Complementarily Visual Analog Scale was used to evaluate the clinical behavior of patients. Results: The average AOFAS score improved from 45.5 to 85.29 points. All patients were satisfied with the surgical outcome and would choose surgical treatment again if needed. Two minor immediate postoperative complications (8,33%) were observed: 1 ecchymosis and 1 transitory hypoesthesia of the heel; 50% of the patients presented with induration and pain in the portals within 2 months after the surgery; 25% of patients was unable to resume their prior physical activity level. Conclusion: The posterior arthroscopic approach is a safe and effective therapeutic alternative for the treatment of the posterior talar osteochondral lesion. Resection of the fragment by arthroscopic approach is technically simple, reproducible and safe with few complications, thus reducing the time of return to sport and/or work activity in relation to open procedures.

Biografía del autor/a

Jorge Pablo Batista

Centro Artroscópico Jorge Batista, Buenos Aires, Argentina.

Jorge Javier del Vecchio

Fundación Favaloro, Buenos Aires, Argentina.

Rodrigo Maestu

CETEA - Centro Tratamiento Enfermedades Articulares, Buenos Aires. Argentina.

Luciano Patthauer

Centro Artroscópico Jorge Batista, Buenos Aires, Argentina

Lucas Daniel Logioco

Centro Artroscópico Jorge Batista, Buenos Aires, Argentina.

Tun Hing Lui

North District Hospital Orthopaedics and Traumatology - Sheung Shui, Hong Kong, China.

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Publicado

2017-06-12

Cómo citar

Batista, J. P., del Vecchio, J. J., Maestu, R. ., Patthauer, L., Logioco, L. D., & Lui, T. H. (2017). Artroscopia posterior do tornozelo para o tratamento das lesões osteocondrais do talo 7, 8 e 9 de Raikin. Tobillo Y Pie, 9(1), 10–14. Recuperado a partir de https://scijfootankle.emnuvens.com.br/tobilloypie/article/view/1468

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