Biologie Cellulaire et Moléculaire

Abstrait

Combined Posterior and Anterior Ankle Arthroscopy as Effective Treatment for Ankle Kashin-Beck Disease

Wei Li, Wenbo Wang, Xiaqi Mei and Zuowei Shi

Kashin-Beck disease (KBD) is an endemic disease which may affect extremity joints. The ankle joint is commonly involved in KBD due to its undertaking all the weight of the body. Ankle arthroscopy combined with hindfoot arthroscopy has a significant effect in treating patients with ankle KBD in the short term, especially in improving the range of ankle motion. Yet the arthroscopic treatment of ankle KBD has highlighted the lack of research to assess the arthroscopic approach for treating this disease. In this study, a prospective study of patients previously suffering from ankle Kashin- Beck then undergoing arthroscopic surgery was carried out. 30 feet of 26 patients with ankle Kashin-Beck Disease received treatment of ankle arthroscopy during October 2013 and November 2014, involving 12 men and 14 women, aging from 29 to 64 years old were involved. Our results suggested treatment for ankle KBD by combined anterior and posterior arthroscopy has a significant effect in improving symptoms both anteriorly and posteriorly.

Level of evidence: Level II (low-powered prospective randomized trial)