The purpose of this study was to evaluate the results of arthroscopy of the ankle. Of the 114 arthroscopies of the ankle that we performed between 1991 and 1996, 13 were for diagnosis, 6 were associated with open surgery, and 10 were ankle arthrodeses. We report the results of the remaining 85 therapeutic arthroscopies.
We identified five groups according to preoperative indications: (1) anterolateral synovitis after a sprained ankle (33 cases), (2) sequelae of fractured ankles (17 cases), (3) anterior impingement as a result of osteophytes (12 cases), (4) loose foreign bodies as a result of avulsion of fragments of bone (6 cases), and (5) osteochondral lesions of the talar dome (17 cases). In anterolateral synovitis, results were better when the pain followed a single sprain than when after chronic instability. In osteochondral lesions of the talar dome, results were better in anterolateral lesions than in posteromedial lesions.
. AndersonI.F., CrichtonK.J., Grattan-SmithT., CooperR.A.BrazierD.: Osteochondral fractures of the dome of the talus. J. Bone Joint Surg., 71A:1143-1152, 1989.
3.
. BakerC.L., AndrewsJ.R.RyanJ.B.: Arthroscopic treatment of transchondral talar dome fracture. Arthroscopy, 2(2):82-87, 1986.
4.
. BassettF.H., GatesH.S., BillysJ.B., MorrisH.B.NikolaouP.K.: Talar impingement by the antero-inferior tibiofibular ligament: a cause of chronic pain in the ankle after inversion sprain. J. Bone Joint Surg., 72A:55-58, 1990.
5.
. BauerM., JonssonK.LindenB.: Osteochondritis dissecans of the ankle: a 20 years follow-up study. J. Bone Joint Surg., 69B:93-96, 1987.
6.
. BerndtL.HartyM.: Transchondral fractures (osteochondritis dissecans of the talus). J. Bone Joint Surg., 41A:988-1020, 1959.
7.
. BonninM.CarretJ.P.: L'arthrodèse de cheville sous arthroscopie: a propos de 10 cas revus à plus de 1 an. Rev. Chir. Orthop., 81:128-135, 1995.
8.
. BonninM.: Ankle sprain sequelae. InBouyssetM. (ed.), Bone and Joint Disorders of the Foot and Ankle. Paris, Springer, 1998, pp. 287–302.
9.
. CampbellC.J.RanawatC.S.: Osteochondritis dissecans: the question of etiology. J. Trauma, 6:201-219, 1996.
10.
. CourroyJ.B.: Le syndrome tibio-astragalien antérieur. J. Traumatol. Sport, 11:29-32, 1994.
11.
. DentC.M., PatilM.FaireloughJ.A.: Arthroscopic ankle arthrodesis. J. Bone Joint Surg., 75B:830-832, 1993.
12.
. FerkelR.D.: Arthroscopy of the ankle and foot. InMannR.A., and CoughlinM.J. (eds.), Surgery of the Foot and Ankle. St Louis, Mosby, 1993, pp. 1277–1310.
13.
. FerkelR.D.: Arthroscopic Surgery: The Foot and Ankle. Philadelphia, Lippincott-Raven, 1996.
14.
. FerkelR.D., KarzelR.P., DelpizzoW., FriedmanM.J.FisherS.P.: Arthroscopic treatment of antero-lateral impingement of the ankle. Am. J. Sports Med., 19(5):440-446, 1991.
15.
. FerkelR.D.ScrantonP.E.: Current concepts review: arthroscopy of the ankle and foot. J. Bone Joint Surg., 75A: 1233-1242, 1993.
16.
. FrankA., CohenP., BeaufilsP.LamareJ.: Arthroscopic treatment of osteochondral lesions of the talar dome. Arthroscopy, 5:57, 1989.
17.
. GerardY., BernierJ.M.AmeiM.: Lésions ostéochondrals de la poulie astragalienne. Rev. Chir. Orthop., 75:466-478, 1989.
18.
. GirardierJ.: Les Fractures Ostéochondrales du Dôme Astragalien. Lyon, Thèse de Médecine, 1982, p. 200.
19.
. HermanS.: Conflit douloureux antérieur de la heville, traitement chirurgical. J. Traumatol. Sport, 11:33-35, 1994.
20.
. International Knee Documentation Committee: The IKDC Knee Ligament Standard Evaluation Form. Knee Surg. Sports Traumatol. Arthrosc., 4(3):191-192, 1996.
21.
. JeroschJ., SteinbeckM., SchröderM.HalmH.: Arthroscopic treatment of anterior synovitis of the ankle in athletes. Knee Surg. Sports Traumatol. Arthrosc., 2:176-181, 1994.
22.
. KarlssonJ.PetersonL.: Evaluation of ankle joint function: the use of a scoring scale. Foot, 1:15-19, 1991.
23.
. LiuS.H., NuccionS.L.FinermanG.: Diagnosis of antero-lateral ankle impingement: comparison between magnetic resonance imaging and clinical evaluation. Am. J. Sports Med., 25(3):389-393, 1997.
24.
. LundeenR.O.StienstraJ.L.: Arthroscopic treatment of transchondral lesions of the talar dome. J. Am. Pod. Med. Assoc., 77(8):456-461, 1987.
25.
. McMurrayT.P.: Footballer's ankle. J. Bone Joint Surg., 32B: 68-69, 1950.
26.
. MartinD.F., CurlW.W.BakerC.L.: Arthroscopictreatment of chronic synovitis of theankle. Arthroscopy, 5(2):110-114, 1989.
27.
. MeislinR.J., RoseD.J., ParisienJ.S.SpringerS.: Arthroscopic treatment of synovial impingement of the ankle. Am. J. Sports Med., 21(2):186-189, 1993.
28.
. MorganC.: Arthroscopic ankle arthrodesis. InGuhlJ.F. (ed.), Ankle Arthroscopy: Pathology and Surgical Technique. Thorofare, SLACK, 1988, pp. 119–122.
29.
. MorrisL.H.: Athlete's ankle in proceedings of the British Orthopaedic Association. J. Bone Joint Surg., 25B:220, 1943.
30.
. MyersonM.S.OuillG.: Ankle arthrodesis: a comparison of an arthroscopic and an open method of treatment. Clin. Orthop., 268:84-95, 1991.
31.
. O'DonnoghueD.H.: Chondral and osteochondral fractures. J. Trauma., 6:469, 1966.
32.
. Ogilvie-HarrisD.J., GilbartM.K.ChorneyK.: Chronic pain after ankle sprains in athletes: the role of arthroscopic surgery. Arthroscopy, 13:564-574, 1997.
33.
. Ogilvie-HarrisD.J., LibermanI.FitsialosD.: Arthroscopically assisted arthrodesis for osteo-arthrotic ankles. J. Bone Joint Surg., 75A:1167-1174, 1993.
34.
. ParisienJ.S., VangnessT.FeldmanR.: Diagnostic and operative arthroscopy of the ankle. Clin. Orthop., 224:228-236, 1987.
35.
. PettineK.A.MorreyB.F.: Osteochondral fractures of the talus: a long term follow-up. J. Bone Joint Surg., 69B:89-92, 1987.
36.
. PritshM., HoroschovskiH.FarineI.: Arthroscopic treatment of osteochondral lesions of the talus. J. Bone Joint Surg., 68A:862-865, 1986.
37.
. ScrantonP.E.Jr.McDermottJ.E.: Anterior tibiotalar spurs: a comparison of open versus arthroscopic debridement. Foot Ankle, 13:125-129, 1992.
38.
. SheaM.P.ManoliA.: Osteochondral lesions of the talar dome. Foot Ankle, 14(1):48-55, 1993.
39.
. StollerS.M.: A comparative study of the frequency of anterior impingement exostoses of the ankle in dancers and nondancers. Foot Ankle, 4:201-203, 1984.
40.
. TegnerT.LysholmJ.: Rating systems in the evaluation of knee ligament injuries. Clin. Orthop., 198:43-49, 1985.
41.
. TheinR.EichenblatM.: Arthroscopic treatment of sports-related synovitis of the ankle. Am. J. Sports Med., 20:496-498, 1992.
42.
. Van DijkC.N., TolJ.L.VerheyenC.C.: A prospective study of prognostic factors concerning the outcome of arthroscopic surgery for anterior ankle impingement. Am. J. Sports Med., 25:737-745, 1997.
43.
. WolinI., GlassmanF.SidemanS.: Internal derangement of the talofibular compartment of the ankle. Surg. Gynecol. Obstet., 91:193-200, 1950.
