The Utilization of Minimally Invasive Surgery for Os Trigonum Syndrome: A Systematic Review

被引:2
作者
Anastasio, Albert T. [1 ,2 ,3 ]
Baumann, Anthony N. [1 ,4 ]
Walley, Kempland C. [1 ,5 ]
Curtis, Deven P. [1 ,4 ]
Johns, William L. [1 ,6 ]
Amendola, Annunziato [1 ,3 ]
机构
[1] Duke Univ, Durham, NC USA
[2] Duke Univ, Dept Orthopaed Surg, 200 Trent Dr, Durham, NC 27710 USA
[3] Duke Univ, Dept Orthopaed Surg, Durham, NC USA
[4] Northeast Ohio Med Univ, Coll Med, Rootstown, OH USA
[5] Univ Michigan, Dept Orthopaed Surg, Ann Arbor, MI USA
[6] Thomas Jefferson Univ Hosp, Rothman Orthopaed Inst, Philadelphia, PA USA
关键词
minimally invasive surgery; arthroscopic; endoscopic; os trigonum; posterior ankle impingement; ANKLE IMPINGEMENT SYNDROME; POSTERIOR ENDOSCOPIC EXCISION; ARTHROSCOPIC EXCISION; FOLLOW-UP; RESECTION; DIAGNOSIS;
D O I
10.1177/03635465231198425
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: A symptomatic os trigonum is a common cause of posterior ankle pain that has been traditionally managed with open excision. Minimally invasive surgery (MIS) has been proposed as an alternative to open excision for improved outcomes and decreased complication rates; however, no systematic review to date has examined the utilization of MIS for a symptomatic os trigonum.Purpose: To examine patient outcomes, return to sport, and complications associated with MIS for a symptomatic os trigonum.Study Design: Systematic review; Level of evidence, 4.Methods: A systematic review was performed on February 22, 2023, using the PubMed, CINAHL, MEDLINE, and Web of Science databases from database inception until February 22, 2023, on the topic of MIS for a symptomatic os trigonum.Results: Of 885 articles retrieved from an initial search, 17 articles (N = 435 patients) met full inclusion criteria. The mean age of the cohort was 26.01 +/- 4.68 years, with a mean follow-up time of 34.63 +/- 18.20 months. For patients treated with MIS, the mean preoperative American Orthopaedic Foot and Ankle Society (AOFAS) score was 55.85 +/- 12.75, the mean final postoperative AOFAS score was 94.88 +/- 4.04, the mean preoperative visual analog scale pain score was 7.20 +/- 0.43, and the mean final postoperative visual analog scale score was 0.71 +/- 0.48. The mean time to return to sport for patients undergoing MIS was 7.76 +/- 1.42 weeks. MIS had an overall complication rate of 5.0%, the majority of which consisted of transient neurapraxia of the sural or superficial peroneal nerve.Conclusion: Minimally invasive management of a symptomatic os trigonum appears to be a viable alternative to open surgery in terms of outcomes, return to sport, and complication rates. More high-quality evidence will be required to definitely recommend minimally invasive approaches as the standard of care over open surgery.
引用
收藏
页码:2168 / 2177
页数:10
相关论文
共 30 条
[1]   Outcome of resection of a symptomatic Os trigonum [J].
Abramowitz, Y ;
Wollstein, R ;
Barzilay, Y ;
London, E ;
Matan, Y ;
Shabat, S ;
Nyska, M .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2003, 85A (06) :1051-1057
[2]   Arthroscopic Versus Posterior Endoscopic Excision of a Symptomatic Os Trigonum A Retrospective Cohort Study [J].
Ahn, Jae Hoon ;
Kim, Yoon-Chung ;
Kim, Ha-Yong .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2013, 41 (05) :1082-1089
[3]   Posterior Endoscopic Excision of Os Trigonum in Professional National Ballet Dancers [J].
Ballal, Moez S. ;
Roche, Andy ;
Brodrick, Anna ;
Williams, R. Lloyd ;
Calder, James D. F. .
JOURNAL OF FOOT & ANKLE SURGERY, 2016, 55 (05) :927-930
[4]   TALAR COMPRESSION SYNDROME [J].
BRODSKY, AE ;
KHALIL, MA .
AMERICAN JOURNAL OF SPORTS MEDICINE, 1986, 14 (06) :472-476
[5]  
Chun L., 2021, J PEDIAT ORTHOP, V41
[6]   The Incidence of Complications After Posterior Hindfoot Endoscopy [J].
Donnenwerth, Michael P. ;
Roukis, Thomas S. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2013, 29 (12) :2049-2054
[7]   Endoscopic Versus Open Excision of Os Trigonum for the Treatment of Posterior Ankle Impingement Syndrome in an Athletic Population: A Randomized Controlled Study With 5-Year Follow-up [J].
Georgiannos, Dimitrios ;
Bisbinas, Ilias .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2017, 45 (06) :1388-1394
[8]   ANATOMY OF THE OS-TRIGONUM [J].
GROGAN, DP ;
WALLING, AK ;
OGDEN, JA .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1990, 10 (05) :618-622
[9]   Open Versus Endoscopic Excision of a Symptomatic Os Trigonum: A Comparative Study of 41 Cases [J].
Guo, Qin Wei ;
Hu, Yue Lin ;
Jiao, Chen ;
Fang, Ying ;
Tian, De Xiang .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2010, 26 (03) :384-390
[10]   Pain in the posterior aspect of the ankle in dancers - Differential diagnosis and operative treatment [J].
Hamilton, WG ;
Geppert, MJ ;
Thompson, FM .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1996, 78A (10) :1491-1500