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  • Artroskopske operacije v zgornjem skočnem sklepu = Operativne arthroscopy of the ankle joint
    Senekovič, Vladimir ; Šaćiri, Valdet
    Background. Arthroscopy of the ankle joint has become a standard diagnostic method. Some types of injuries of the ankle joint can be successfully treated with arthroscopic procedures. Methods. From ... 1993 to 2001 we have performed operative arthroscopy at 47 patients with different pathological conditions, including osteochondral fractures, osteochondritis dissecans, osteoarthritis secondary to ankle joint injury, loose bodies, anterior soft tissue impigement, septic arthritis and deformation after healing of talus fracture. The following arthroscopic procedures were carried out. synovectomy, removal of osteophytes, fragments, unstable cartilage, loose bodies cicatrices and dislocated bone in the front of the joint after healing of the talus fracture,drilling of the chondral defects and cleaning of the jointatpurulent arthritis. Results. The results were evaluated by Martin's scale. At the follow up results were excellent at 25 patients (53%), good at 17 (36%), fair at 3 (16%) and bad at 2 patients (4%). We had moderate complications at 4 patients (8.5%). At three transient hiposensibility of the dorsolateral part of the food was occurred because of injury of the branches of the superficial peroneal nerve. One patient has had synovial fistul for two months which has closed spontaneously. This is correlated with data in literature. Conclusions.In some cases we found out the real diagnosis at arthroscopy but we have never done only diagnostic arthroscopy. We mean according to our results that some injuries and diseases of the ankle joint have to be treated by arthroscopic surgical methods. We mean also according to over experiences that only diagnostical arthroscopy should not be done. Always operative arthroscopy has to be performed.
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 70, št. 10, okt. 2001, str. 539-542)
    Vrsta gradiva - članek, sestavni del
    Leto - 2001
    Jezik - slovenski
    COBISS.SI-ID - 14052057

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