ARTHROSCOPIC TREATMENT OF OSTEOCHONDRAL LESIONS OF THE TALUS

To assess pain and function of the ankle in patients with injuries up to 1.5 cm diameter by the American Orthopaedic Foot and Ankle Society (AOFAS) score after arthroscopic treatment. The AOFAS scale was applied before and after arthroscopy, as well as the degree of subjective satisfaction of ambula...

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Bibliographic Details
Published in:	Acta ortopedica brasileira Vol. 24; no. 1; pp. 32 - 34
Main Authors:	de Araujo, Mariana Korbage, de Cillo, Mario Sergio Paulillo, Bittar, Cinthia Kelly, Zabeu, José Luis Amin, Cezar, Caroliny Nociti Moreira
Format:	Journal Article
Language:	English
Published:	Brazil Sociedade Brasileira de Ortopedia e Traumatologia 01-01-2016 ATHA EDITORA
Subjects:	Ankle Arthroscopy Original ORTHOPEDICS Talus Wounds and injuries Ankle Talus Arthroscopy Wounds and injuries
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Summary:	To assess pain and function of the ankle in patients with injuries up to 1.5 cm diameter by the American Orthopaedic Foot and Ankle Society (AOFAS) score after arthroscopic treatment. The AOFAS scale was applied before and after arthroscopy, as well as the degree of subjective satisfaction of ambulatory patients. Patients with type I osteochondral injuries, acute trauma, using plaster, presenting lesions in other joints of the lower limbs and cognitive impairment that would prevent the application of the satisfaction questionnaire were excluded from the study. Statistical analysis was performed using unpaired t test with Welch correction, Mann Whitney test, and ANOVA, with Kruskal Wallis test and Dun test, considering p value lower than 0.05. There was an increased AOFAS scores after arthroscopic treatment in 52 (94.5%) patients. The mean values of AOFAS score in 55 patients was 77.32 ± 6.67 points preoperative and 93.10± 8.24 points postoperative, with a mean variation of 15.8 points, p<0.001. Patients with stage II, III and IV injuries showed an increased AOFAS scores after arthroscopic treatment, p<0.001. No difference was found between medial and lateral injuries, p >0.05. Patients with stage II, III or IV osteochondral injuries of the talus of up to 1.5 cm diameter, whether medial or lateral, showed a significant improvement after arthroscopic treatment. Level of Evidence III, Retrospective Study.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 All the authors declare that there is no potential conflict of interest referring to this article.
ISSN:	1413-7852 1809-4406 1413-7852 1809-4406
DOI:	10.1590/1413-785220162401137414