Purpose
This study aims to provide an overview of both the open and endoscopic procedures
used to treat posterior ankle impingement, as well as an analysis, evaluation, and
comparison of their outcomes.
Methods
A systematic literature search of the Medline, Embase (Classic), and CINAHL (Cumulative
Index to Nursing and Allied Health Literature) databases and the Cochrane Database
of Clinical and Randomized Controlled Trials was performed. Quality of included studies
was assessed by use of the Downs and Black scale.
Results
After we reviewed 783 studies, 16 trials met the inclusion criteria. Of these trials,
6 reported on open surgical techniques and 10 evaluated endoscopic techniques. The
complication rate (15.9% v 7.2%) and time to return to full activity (16.0 weeks v 11.3 weeks) differed between the 2 groups, both favoring endoscopic surgery.
Conclusions
Although the level of evidence of the included studies is relatively low, it can be
concluded that the endoscopic technique is superior to the open procedure.
Level of Evidence
Level IV, systematic review of Level IV studies.
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Article Info
Publication History
Published online: April 01, 2013
Accepted:
January 25,
2013
Received:
September 7,
2012
Footnotes
The authors report that they have no conflicts of interest in the authorship and publication of this article.
Identification
Copyright
© 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
