Case Report
Volume 11 Issue 11 - 2020
Does Resection of Anterior Tibial Plafond Bony Spur Influence the Postoperative Outcomes in Patients Undergoing Arthroscopic Surgery for Osteochondral Lesion of the Talus? Clinical Results and Second-Look Arthroscopic Evaluation
Yong Sang Kim and Yong Gon Koh
Center for Stem Cell and Arthritis Research, Department of Orthopaedic Surgery, Yonsei Sarang Hospital, Seoul, Republic of Korea
*Corresponding Author: Yong Gon Koh, Center for Stem Cell and Arthritis Research, Department of Orthopaedic Surgery, Yonsei Sarang Hospital, Hyoryeong-ro, Seocho-gu, Seoul, Republic of Korea.
Received: September 18, 2020; Published: October 31, 2020




Abstract

Introduction: The anterior tibial plafond bony spur, frequently observed when performing arthroscopic surgery for an osteochondral lesion of the talus (OLT), is usually resected during the arthroscopic procedure. The aim of the study was to evaluate the clinical outcomes after arthroscopic resection of anterior tibial plafond bony spur as an additional procedure in patients with OLT and to compare the outcomes in patients without bony spurs.

Methods: We reviewed 123 patients (129 ankles) who underwent arthroscopic treatments for OLT. The patients were divided into three groups according to the presence of anterior tibial plafond bony spur and whether second-look arthroscopy was performed: group 1 (76 ankles; without bony spur), group 2 (32 ankles; with bony spur and did not undergo second-look arthroscopy), and group 3 (21 ankles; with bony spur and underwent second-look arthroscopy). The visual analog scale, the American Orthopaedic Foot and Ankle Society score, and the range of movement were assessed for clinical outcomes, and patient satisfaction was recorded.

Results: The clinical outcomes and patient satisfaction improved significantly after primary arthroscopic treatment in all three groups. The clinical outcomes and patient satisfaction before second-look arthroscopy in group 3, which were significantly improved after second-look arthroscopy, were similar to those at the final follow-up in group 2. Significant correlations were found between clinical outcomes and adhesion at the bony spur resection site during the second-look arthroscopy in group 3.

Conclusion: This study demonstrates that adhesions developed at the bony spur resection sites caused less favorable clinical outcomes which can be resolved with arthroscopic adhesiolysis performed during second-look arthroscopy.

Keywords: Anterior Tibial Plafond Bony Spur; Adhesion; Osteochondral Lesion of the Talus; Second-Look Arthroscopy

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Citation: Yong Sang Kim and Yong Gon Koh. “Does Resection of Anterior Tibial Plafond Bony Spur Influence the Postoperative Outcomes in Patients Undergoing Arthroscopic Surgery for Osteochondral Lesion of the Talus? Clinical Results and Second-Look Arthroscopic Evaluation”. EC Orthopaedics 11.11 (2020): 59-68.

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