Purpose
The purpose of this systematic review was to determine the incidence of complications
after posterior hindfoot endoscopy.
Methods
Ovid/Medline and Google Scholar were systematically searched for pertinent references
to be included. In addition, we hand-searched common American and European orthopaedic
and podiatric surgical journals for relevant articles. Articles considered for inclusion
were published in peer-reviewed journals, described complications after posterior
hindfoot endoscopy using a standard 2-portal technique, and involved 25 or more patients
treated.
Results
We identified 335 potentially relevant publications, of which 5 met our inclusion
criteria. A total of 452 ankles (452 patients) were included in this study. Overall,
17 complications (3.8%) occurred, with only 8 (1.8%) requiring additional treatment
or operative intervention.
Conclusions
The endoscopic approach for the treatment of hindfoot and ankle pathology is safe
with a low incidence of complications. However, additional studies with prospective
designs should be undertaken to determine the long-term patient outcomes using validated
scoring systems.
Level of Evidence
Level IV, systematic review of Level III and IV studies.
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Article info
Publication history
Accepted:
August 26,
2013
Received:
July 25,
2013
Footnotes
The authors report the following potential conflict of interest or source of funding: T.S.R. receives support from American College of Foot and Ankle Surgeons: Board of Directors, Executive Committee, President-Elect. Stryker Orthopaedics.
Identification
Copyright
© 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
