Yıl 2018, Cilt 25, Sayı 1, Sayfalar 63 - 69 2018-03-30

Hindfoot Endoscopy: Correlation of the Preoperative Indications with the Perioperative Endoscopic Findings
Ardayak Endoskopisi: Preoperatif Endikasyonların Perioperatif Endoskopik Bulgular ile Korelasyonu

A. Meric Unal [1]

15 7

Background: The aim of this study was to review the disorders treated with hindfoot endoscopy and investigate the detected ratio and type of combined pathologies. The second aim was to evaluate the preoperative and peroperative findings before and at the time of hindfoot endoscopy.

Patients and Methods: 81 hindfoot endoscopies of the 77 patients performed between 2010-2015 were reviewed. Demographic informations, preoperative physical and radiological findings and operative data of all patients were noted. Preoperative physical examination for hindfoot was performed in a standart fashion for all patients. Weight-bearing anteroposterior and lateral radiographs were taken for all patients. Magnetic resonance imaging(MRI) was performed to all patients except obvious prescence of bony impingement. The hindfoot endoscopy was performed to all patients at prone position under either spinal or general anesthesia with standart posteromedial and posterolateral portals described as Van Dijk et al.

Results: In this case series; the most detected preoperative indications were flexor hallucis longus tendinopathy(27.1%), symptomatic os trigonum(22.2%) as a cause of posterior ankle impingement and insertional achilles tendinopathy(20.9%). The most detected endoscopic findings were flexor hallucis longus tendinopathy(33.3%),  symptomatic os trigonum(19.3%), and retrocalcaneal bursitis(16.2%).16 patients(19.7%) had preoperatively detected combined pathologies. In 32 patients(39.5%), a new indication was added to preoperative indication.

Conclusion: Posterior ankle impingement and peri-achilles pathologies are the most seen indications for this technique. It is important that we all must aware of perioperatively detected new indications and rare conditions.

Amaç: Bu çalışmanın amacı, ardayak endoskopisi ile tedavi edilen patolojilerin değerlendirilmesi ve kombine patolojilerin oranları ve tiplerinin saptanmasıdır. Çalışmanın bir diğer amacı ise operasyon öncesi ve ardayak endoskopisi sırasında saptanan bulguların korelasyonudur.

Hastalar ve Metod: 2010-2015 yılları arasında ardayak endoskopisi uygulanan 77 hastanın 81 ayak bileği değerlendirmeye alınmıştır. Tüm hastaların demografik bilgileri, preoperatif fizik muayene ve radyolojik bulguları ve operasyon notları gözden geçirilmiştir. Operasyon öncesi tüm hastalara standart ayak bileği fizik muayene testleri uygulanmıştır. Yüklenmede ayak bilek ön-arka ve yan direkt radyografileri alınmıştır. Manyetik rezonans görüntüleme, direkt radyografide belirgin kemik sıkışması olan hastalar hariç tüm hastalara uygulanmıştır. Ardayak endoskopisi tüm hastalara genel ya da spinal anestezi altında pron pozisyonda van Dijk ve ark. tarafından tanımlanmış olan standart posteromedial ve posterolateral portaller kullanılarak uygulanmıştır.

Sonuçlar: Bu olgu serisinde en sık saptanan preoperatif endikasyonlar fleksör hallusis longus  tendinopatisi(%27.1), semptomatik os trigonum(%22.2) ve insersiyonel aşil tendinopatisi(%20.9) olarak bulunmuştur. En sık saptanan endoskopik bulgular ise sırası ile fleksör hallusis longus tendinopatisi(%33.3), semptomatik os trigonum(%19.3) ve retrokalkaneal bursit(%16.2) olarak saptanmıştır. 16 hastada preoperatif kombine patoloji saptanmıştır. 32 hastada ise ardayak endoskopisi sırasında preoperatif endikasyonlara yeni bir endikasyon eklenmiştir.

Çıkarımlar: Ardayak endoskopisinin en sık endikasyonları ayak bileği posterior sıkışma sendromu ve aşil tendon çevresi patolojileri olarak belirtilebilir. Operasyon sırasında saptanabilecek yeni endikasyonlar ve nadir durumlar konusunda uyanık olmak gerekmektedir. 

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Birincil Dil en
Konular Tıp Bilimleri
Dergi Bölümü Araştırma Makaleleri
Yazarlar

Yazar: A. Meric Unal (Sorumlu Yazar)
E-posta: abdmunal@yahoo.com
Kurum: Suleyman Demirel University, Faculty of Medicine, Sports Medicine Department
Ülke: Turkey


Bibtex @araştırma makalesi { sdutfd391224, journal = {SDÜ Tıp Fakültesi Dergisi}, issn = {1300-7416}, address = {Süleyman Demirel Üniversitesi}, year = {2018}, volume = {25}, pages = {63 - 69}, doi = {10.17343/sdutfd.391224}, title = {Hindfoot Endoscopy: Correlation of the Preoperative Indications with the Perioperative Endoscopic Findings}, key = {cite}, author = {Unal, A. Meric} }
APA Unal, A . (2018). Hindfoot Endoscopy: Correlation of the Preoperative Indications with the Perioperative Endoscopic Findings. SDÜ Tıp Fakültesi Dergisi, 25 (1), 63-69. DOI: 10.17343/sdutfd.391224
MLA Unal, A . "Hindfoot Endoscopy: Correlation of the Preoperative Indications with the Perioperative Endoscopic Findings". SDÜ Tıp Fakültesi Dergisi 25 (2018): 63-69 <http://dergipark.gov.tr/sdutfd/issue/35686/391224>
Chicago Unal, A . "Hindfoot Endoscopy: Correlation of the Preoperative Indications with the Perioperative Endoscopic Findings". SDÜ Tıp Fakültesi Dergisi 25 (2018): 63-69
RIS TY - JOUR T1 - Hindfoot Endoscopy: Correlation of the Preoperative Indications with the Perioperative Endoscopic Findings AU - A. Meric Unal Y1 - 2018 PY - 2018 N1 - doi: 10.17343/sdutfd.391224 DO - 10.17343/sdutfd.391224 T2 - SDÜ Tıp Fakültesi Dergisi JF - Journal JO - JOR SP - 63 EP - 69 VL - 25 IS - 1 SN - 1300-7416-2602-2109 M3 - doi: 10.17343/sdutfd.391224 UR - http://dx.doi.org/10.17343/sdutfd.391224 Y2 - 2018 ER -
EndNote %0 SDÜ Tıp Fakültesi Dergisi Hindfoot Endoscopy: Correlation of the Preoperative Indications with the Perioperative Endoscopic Findings %A A. Meric Unal %T Hindfoot Endoscopy: Correlation of the Preoperative Indications with the Perioperative Endoscopic Findings %D 2018 %J SDÜ Tıp Fakültesi Dergisi %P 1300-7416-2602-2109 %V 25 %N 1 %R doi: 10.17343/sdutfd.391224 %U 10.17343/sdutfd.391224