July 19, 2013
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Study: Endoscopic procedure yields better results than open procedure to treat ankle impingement

Researchers conducted a systematic review of the literature and concluded that an endoscopic method is superior to an open surgical procedure to treat patients with ankle impingement, according to results of this study.

“Both the open procedures and the endoscopic approaches yield good outcomes in terms of patient satisfaction. However, complication rates are remarkably lower with endoscopic treatment, and it seems that the time to return to full activity is much shorter,” C. Niek van Dijk, MD, PhD, and colleagues wrote in the study.

 C. Niek van Dijk 

C. Niek van Dijk

van Dijk and colleagues searched the Embase, Medline, Cumulative Index to Nursing and Allied Health Literature databases and found 16 trials that treated patients who had ankle impingement with either open or endoscopic procedures. They found the complication rate for endoscopic surgery was 7.2% and a return to full activity was 11.3 weeks compared to 15.9% and 16 weeks in the open surgery group, respectively.

“Even though the level of evidence of the included studies is relatively low, it can be concluded that the endoscopic procedure is superior to the open procedure,” van Dijk and colleagues wrote.

Disclosure: The authors have no relevant financial disclosures.