Arthroscopic approach in treatment of ankle joint injuries

Hrvoje Klobučar



Introduction: Sprained ankle are the most common injuries of musculoskeletal system. Repeated injuries of the ankle cartilage can lead to the development of arthrosis, with expanded cartilage damage, infl ammation, frequent swelling and architectural distortion of the joint.

Aim: The aim of the study is to compare patient function before and after arthroscopy of the ankle.

Materials and methods: Thirtythree patients are analyzed- 16 men and 7 women, mean age 41 years (17-73 years) - who underwent arthroscopic treatment because of ankle injury. The patients were evaluated on the basis of Foot and Ankle Disability Index (FADI) and American Orthopaedic Foot and Ankle Score System (AOFAS) before and after treatment.

Results: Average subjective FADI score before surgery was 52.4±21.2 (22.6- 92.5) and six months after sugery 91.1±9.0 (69.1-100). Average objective AOFAS before the procedure was 64±21.7 (21-95), and after the procedure 96.5±4.3 (86-100).

Conclusion: Fractures of the ankle and ligament injuries require earlier rehabilitation in order to prevent subsequent damage to the cartilage of the joint. Cartilage and bone underneath are more frequent found in the ankle than in any other joint in the body. Adequate treatment of cartilage lesion reduces risk of arthrosis. Arthroscopy of the ankle is minimaly invasive procedure that allows patients quick recovery and rehabilitation, and early return to daily activities and sports.

Key words: ankle arthroscopy, cartilage lesion, arthroscopic fracture treatment