in the name of god. impact of obesity on the arthroscopic treatment of anterolateral impingement...
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IN THE NAME OF GOD
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IMPACT OF OBESITY ON THE ARTHROSCOPIC TREATMENT OF ANTEROLATERAL IMPINGEMENT
SYNDROME OF THE ANKLE (ALISA)
Mohsen Mardani-Kivi, M.D.Orthopedic Department, Guilan University Of Medical Sciences
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INTRODUCTION:
Obesity: a serious problem / one in three adults in some countries.
obesity significantly increased the chances of having tendinitis, plantar fasciitis, and OA and increased stress on the soft tissues and joints.
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INTRODUCTION:
ALISA: chronic ankle pain for > 3months
with tenderness of anterolateral region worsened with dorsiflexion
chronic pain secondary to hypertrophy or disruption of the anterolateral ligament or capsule of the ankle (repeated traumatic injuries or tensions)
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THE PURPOSE OF THE STUDY :
To determine the effect of obesity on the arthroscopic findings and functional outcomes following arthroscopic treatment of the ALISA
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MATERIALS AND METHODS:
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MATERIALS AND METHODS:
The patients with instability of the ankle joint and/or OA of the ankle (Scranton IV) were excluded from the study.
The patients with instability of the ankle joint and/or OA of the ankle (Scranton IV) were excluded from the study.
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ARTHROSCOPIC INTERVENTION:
GA anesthesia / supine position / Standard portals of the
anterolateral and anteromedial of the ankle joint
Debridement of the synovial hypertrophy and anterolateral scarring and scraping of any possible spurs.
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:
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:
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RESULTS:
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RESULTS:
AOFAS scores of both obese and non-obese group showed significant improvement significant improvement in 6th and 12th follow up visits (P<0.001).
AOFAS scores of the non-obese patients were improved more than those of the obese patients, yet it was notnot statistically significance.
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joints.
The non-obese patients had a higher AOFAS score in compare with the obese individuals but it was notnot statistically significant.
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RESULTS:
patients with chondral lesion had higher BMI than those who did not have this lesion (P<0.05).
Other diagnosed lesions were poorly related to higher BMI, and nonenone of them reached significant difference.
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RESULTS: THE ARTHROSCOPY RESULTS BY BMI
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DISCUSSION:
In our previous study, we reported that arthroscopic treatment relieved the symptoms of pain and improved ankle function considerably both for patients with or without chondral lesions
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:
joints.
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DISCUSSION:
While many surgeons expect that increased BMI has a negative effect on surgical morbidity, this is notnot the case about ALISA, with regards to the present study.
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CONCLUSION:
Our findings indicate that arthroscopic treatment of the ankle is effective on both obese and non-obese patients.
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THANK YOU FOR YOUR ATTENTION