ARTHROSCOPIC SURGERY AND ITS RESULTS IN CASES THAT DO NOT RESPOND TO CONSERVATIVE TREATMENT AFTER ANKLE SPRAIN IN YOUNG PATIENTS
Servet TUNAY, Cemil YILDIZ, İbrahim YANMIŞ, Mahmut KÖMÜRCÜ, A Sabri ATEŞALP, Ethem GÜR
GATA Ortopedi ve Travmatoloji Anabilim Dalı
Keywords: Ankle Arthroscopy, Ankle Sprain, Conservative Treatment.
Purpose: Most of ankle soft tissue injuries can be treated by conservative treatment. In this study, we evaluated our arthroscopic surgery applications in patients who do not respond to conservative treatment and still suffer from chronic pain, swelling, and limitation of movement ability.
Patients and methods: Between November 1991 and June 1998, we performed arthroscopic surgery in 22 ankles of 22 patients whose symptoms continued in spite of the conservative treatment applied.We used anterolateral and anteromedial portals as usual.
Results: We observed chondral lesions in 16 cases with different grades and synovitis in 7 cases. Functional and subjective assessment were done according to criteria of Martin at al.
Discussion: As a result of this study; we believe that arthroscopic surgery is useful both in diagnosis and treatment of cases whose symptoms continue although they receive conservative treatment. It helps the healing of synovitis and impingement due to that to a large extend and also symptomatic effect of joint lavage easifies the rehabilitation of the patients.