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Review
. 2022 Mar;125(3):183-188.
doi: 10.1007/s00113-021-01133-0. Epub 2022 Jan 18.

[The role of arthroscopy in diagnostics and treatment of arthritis of the ankle joint]

[Article in German]
Christoph Lampert  1
Affiliations
Review

[The role of arthroscopy in diagnostics and treatment of arthritis of the ankle joint]

[Article in German]
Christoph Lampert. Unfallchirurg. 2022 Mar.

Abstract
in English, German

The arthroscopic treatment of arthritis of the ankle joint is very limited and is only indicated for early stages of arthritis with impingement, strictly localized forms and more for young patients. The most important aim of arthroscopy is to improve the range of motion (ROM) of the ankle by removal of bony projections (dorsal and ventral) and an extensive synovectomy with debridement. In cases of narrowing of the joint space to less than 2 mm and/or malalignment, the indications for arthroscopy should be considered very cautiously. This is independent of the localization of the narrowing, especially if the complete joint is affected. If necessary, arthroscopy can then be carried out as an additional intervention in cases of conversion osteotomy in order to improve the ROM.

Die arthroskopische Behandlung der Arthrose im oberen Sprunggelenk (OSG) ist sehr limitiert und schränkt sich auf beginnende Arthrosen mit Impingement, streng lokalisierte Formen und eher junge Patienten ein. Mithilfe der Arthroskopie wird in erster Linie das Ziel verfolgt, die Beweglichkeit des OSG durch Abtragen von knöchernen Ausziehungen (dorsal und ventral) sowie eine ausgedehnte Synovektomie mit Débridement zu verbessern.Bei Verschmälerungen des Gelenkspalts unter 2 mm und/oder Fehlstellungen ist die Indikation zur Arthroskopie sehr zurückhaltend zu stellen. Dies gilt unabhängig davon, wo diese Verschmälerung lokalisiert ist, v. a. aber wenn sie das ganze Gelenk betrifft. Allenfalls kann die Arthroskopie dann als Zusatzeingriff bei einer Umstellungsosteotomie erfolgen, um die Beweglichkeit zu verbessern.

Keywords: Arthritis; Arthroscopy; Debridement; Osteophyte; Synovectomy.

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References

Literatur

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