Arthroscopic synovectomy in the treatment of functional ankle instability: Outcomes and gait analysis

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dc.contributor.authorAltan, Egemen
dc.contributor.authorÖzbaydar, Mehmet Uğur
dc.contributor.authorTonbul, Murat
dc.contributor.authorŞenaran, Hakan
dc.contributor.authorTemelli, Yener
dc.contributor.authorAkalan, Ekin
dc.date.accessioned2020-03-26T19:08:11Z
dc.date.available2020-03-26T19:08:11Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground Natural consequence of repetitive ankle sprains is the chronic ankle instability. Objective of this study was to clarify the gait patterns of functional ankle instability (FAI) patients after arthroscopic synovectomy, but also assessment of postoperative recovery. Patients and methods Arthroscopic synovectomy was performed to 14 FAI patients with history of unilateral repetitive ankle sprains, pain, and subjective sensation of instability. At a mean 54 months of follow-up (27-84), clinical assessment was conducted with respect to pain, number of ankle sprains, and American Orthopaedics Foot and Ankle Society (AOFAS) scores. Gait analysis was conducted to determine the temporospatial, kinetic and kinematic parameters at the last follow-up. Results Mean AOFAS scores increased from 68 (range 55-75) to 89 (range 77-100) points (P<0.01). Mean ankle sprains was 13 in a period of 23 (range 14-48) months (0.58 per month) and decreased to three sprains in a mean time period of 54 months (0.053 per month) (P<0.01). Mean preoperative and postoperative VAS scores were 8.0 and 2.9, respectively (P<0.01). During gait analysis, no significant differences were found in ankle joint, including foot progression angles, ankle dorsi-plantar flexion degrees and ground reaction forces (P>0.01). Among temporospatial parameters, only double support time showed a significant difference (P<0.01). All patients were satisfied from the procedure and returned to their previous activity level. Conclusion Improved long-term clinical results and scores were obtained in our patient group when compared with the preoperative scores. Also, three-dimensional gait analysis showed that the involved ankles demonstrate similar gait patterns to the uninvolved ankles in patients with FAI. © Springer-Verlag France 2014.en_US
dc.identifier.doi10.1007/s00590-014-1444-xen_US
dc.identifier.endpage197en_US
dc.identifier.issn1633-8065en_US
dc.identifier.issue1en_US
dc.identifier.pmid24676888en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage189en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00590-014-1444-x
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32794
dc.identifier.volume25en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer-Verlag Franceen_US
dc.relation.ispartofEuropean Journal of Orthopaedic Surgery and Traumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAnkleen_US
dc.subjectArthroscopyen_US
dc.subjectGait analysisen_US
dc.subjectInstabilityen_US
dc.subjectSynovectomyen_US
dc.titleArthroscopic synovectomy in the treatment of functional ankle instability: Outcomes and gait analysisen_US
dc.typeArticleen_US

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