Post on 03-Jan-2016
IN THE NAME OF GOD
IMPACT OF OBESITY ON THE ARTHROSCOPIC TREATMENT OF ANTEROLATERAL IMPINGEMENT
SYNDROME OF THE ANKLE (ALISA)
Mohsen Mardani-Kivi, M.D.Orthopedic Department, Guilan University Of Medical Sciences
INTRODUCTION:
Obesity: a serious problem / one in three adults in some countries.
obesity significantly increased the chances of having tendinitis, plantar fasciitis, and OA and increased stress on the soft tissues and joints.
INTRODUCTION:
ALISA: chronic ankle pain for > 3months
with tenderness of anterolateral region worsened with dorsiflexion
chronic pain secondary to hypertrophy or disruption of the anterolateral ligament or capsule of the ankle (repeated traumatic injuries or tensions)
THE PURPOSE OF THE STUDY :
To determine the effect of obesity on the arthroscopic findings and functional outcomes following arthroscopic treatment of the ALISA
MATERIALS AND METHODS:
MATERIALS AND METHODS:
The patients with instability of the ankle joint and/or OA of the ankle (Scranton IV) were excluded from the study.
The patients with instability of the ankle joint and/or OA of the ankle (Scranton IV) were excluded from the study.
ARTHROSCOPIC INTERVENTION:
GA anesthesia / supine position / Standard portals of the
anterolateral and anteromedial of the ankle joint
Debridement of the synovial hypertrophy and anterolateral scarring and scraping of any possible spurs.
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RESULTS:
RESULTS:
AOFAS scores of both obese and non-obese group showed significant improvement significant improvement in 6th and 12th follow up visits (P<0.001).
AOFAS scores of the non-obese patients were improved more than those of the obese patients, yet it was notnot statistically significance.
joints.
The non-obese patients had a higher AOFAS score in compare with the obese individuals but it was notnot statistically significant.
RESULTS:
patients with chondral lesion had higher BMI than those who did not have this lesion (P<0.05).
Other diagnosed lesions were poorly related to higher BMI, and nonenone of them reached significant difference.
RESULTS: THE ARTHROSCOPY RESULTS BY BMI
DISCUSSION:
In our previous study, we reported that arthroscopic treatment relieved the symptoms of pain and improved ankle function considerably both for patients with or without chondral lesions
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joints.
DISCUSSION:
While many surgeons expect that increased BMI has a negative effect on surgical morbidity, this is notnot the case about ALISA, with regards to the present study.
CONCLUSION:
Our findings indicate that arthroscopic treatment of the ankle is effective on both obese and non-obese patients.
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