Comprehensive Analysis of Minimally Invasive Management for Persistent Anterolateral Ankle Pain: A Systematic Review
2024

Minimally Invasive Treatment for Ankle Pain

Sample size: 246 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Elnewishy Ahmed, Elsenosy Abdelfatah M, Symeon Naoum, Abdalla Mohammad, Hamada Ahmed

Primary Institution: Royal Berkshire Hospital, Reading, GBR

Hypothesis

Does minimally invasive arthroscopic decompression effectively manage persistent anterolateral ankle impingement syndrome?

Conclusion

Arthroscopic decompression is a safe and effective treatment for persistent anterolateral ankle pain, leading to significant improvements in pain and mobility.

Supporting Evidence

  • The AOFAS scores improved significantly from a mean of 40.75 preoperatively to 84.2 postoperatively.
  • 50% of cases were rated as excellent based on the Meislen criteria.
  • Postoperative mobility was restored to normal in 130 cases.
  • Complications occurred in 9.8% of cases, including hypoesthesia and infections.
  • Patient satisfaction was high, with most reporting significant improvements.

Takeaway

Doctors can use a small camera to fix ankle pain, helping people feel better and move around more easily.

Methodology

A systematic review of nine studies evaluating arthroscopic decompression for anterolateral ankle impingement.

Potential Biases

Some studies were retrospective, which may introduce selection and reporting bias.

Limitations

Variability in study design, inconsistent follow-up periods, and lack of RCTs limit the generalizability of findings.

Participant Demographics

135 males with a mean age of 29.6 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.7759/cureus.76629

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