Abstract
Residual or persistent pain after total ankle replacement (TAR) is frequent and requires attention. Impingement of recurrent synovitis or hypertrophic scar tissue against the total ankle prostheses explains much of the persistent pain. Acknowledging the associated complications and properly addressing the soft-tissue impingement are essential to further enhance the clinical outcomes of TAR. Arthroscopic debridement is feasible and should be considered as a treatment option in patients with soft-tissue impingement after TAR.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Pagenstert G, Horisberger M, Leumann AG, Wiewiorski M, Hintermann B, Valderrabano V. Distinctive pain course during first year after total ankle arthroplasty: a prospective, observational study. Foot Ankle Int. 2011;32(2):113–9. http://www.ncbi.nlm.nih.gov/pubmed/21288409. Accessed 14 Nov 2014.
Kim BS, Choi WJ, Kim J, Lee JW. Residual pain due to soft-tissue impingement after uncomplicated total ankle replacement. J Bone Joint Surg Ser B. 2013;95B(3):378–83. http://www.scopus.com/inward/record.url?eid=2-s2.0-84874742686&partnerID=tZOtx3y1.
Hess GW. Ankle impingement syndromes: a review of etiology and related implications. Foot Ankle Spec. 2011;4(5):290–7. http://www.ncbi.nlm.nih.gov/pubmed/21926368. Accessed 17 Nov 2014.
McCarthy JC, Jibodh SR, Lee J-A. The role of arthroscopy in evaluation of painful hip arthroplasty. Clin Orthop Relat Res. 2009;467(1):174–80. http://www.scopus.com/inward/record.url?eid=2-s2.0-58249091519&partnerID=tZOtx3y1. Accessed 14 Nov 2014.
Chicklore S, Chicklore S, Gnanasegaran G, Vijayanathan S, Fogelman I. Potential role of multislice SPECT/CT in impingement syndrome and soft-tissue pathology of the ankle and foot. Nucl Med Commun. 2013;34(2):130–9. http://www.ncbi.nlm.nih.gov/pubmed/23211997. 20 Nov 2014.
Kurup HV, Taylor GR. Medial impingement after ankle replacement. Int Orthop. 2008;32(2):243–6. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2269029&tool=pmcentrez&rendertype=abstract. Accessed 2 Dec 2014.
Shirzad K, Viens NA, DeOrio JK. Arthroscopic treatment of impingement after total ankle arthroplasty: technique tip. Foot Ankle Int. 2011;32(07):727–9. http://www.scopus.com/inward/record.url?eid=2-s2.0-79960220084&partnerID=tZOtx3y1. Accessed 10 Nov 2014.
Richardson AB, Deorio JK, Parekh SG. Arthroscopic débridement: effective treatment for impingement after total ankle arthroplasty. Curr Rev Musculoskelet Med. 2012;5(2):171–5. http://www.scopus.com/inward/record.url?eid=2-s2.0-84864833282&partnerID=tZOtx3y1. Accessed 10 Nov 2014.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Kim, B.S., Lee, J.W. (2016). Arthroscopic Debridement for Soft-Tissue Impingement After Total Ankle Replacement. In: Roukis, T., et al. Primary and Revision Total Ankle Replacement. Springer, Cham. https://doi.org/10.1007/978-3-319-24415-0_18
Download citation
DOI: https://doi.org/10.1007/978-3-319-24415-0_18
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-24413-6
Online ISBN: 978-3-319-24415-0
eBook Packages: MedicineMedicine (R0)