In-Office Needle Arthroscopy for the Treatment of Anterior Ankle Impingement Yields High Patient Satisfaction with High Rates of Return to Work and Sport

AbstractReplantation of digital amputations is now the accepted standard of care. However, rarely will a replantation surgeon be presented with amputated fingers which have been previously replanted. In our literature search, we could find only one publication where a replanted thumb suffered amputation and was successfully replanted again. We report the technical challenges and the outcome of replanting two fingers which suffered amputation 40 months after the initial replantation and were successfully replanted again. Replantation was critical since the amputated fingers were the only two complete fingers in that hand which had initially suffered a four-finger amputation. The second-time replantation of previously replanted fingers is reported to allay the concern of the reconstructive surgeon when faced with this unique situation of “repeat amputation of the replanted finger.” Second-time replantation is feasible and is associated with high-patient satisfaction. Replantation must be attempted especially in the event of multiple digit amputations.

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Morphology of Tibiotalar Osteophytes in Anterior Ankle Impingement

Foot & Ankle International ◽

10.1177/107110070102200407 ◽

2001 ◽

Vol 22 (4) ◽

pp. 313-317 ◽

Cited By ~ 42

Author(s):

Wayne S. Berberian ◽

Paul J. Hecht ◽

Keith L. Wapner ◽

Richard DiVerniero

Keyword(s):

Ankle Impingement ◽

Anterior Ankle Impingement

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Increased ROM and high patient satisfaction after open arthrolysis: a follow-up-study of 43 patients with posttraumatic stiff elbows

BMC Musculoskeletal Disorders ◽

10.1186/s12891-016-0928-8 ◽

2016 ◽

Vol 17 (1) ◽

Cited By ~ 17

Author(s):

Petter Morten Pettersen ◽

Joakim Eriksson ◽

Hallgeir Bratberg ◽

Lars Eldar Myrseth ◽

Lise Grete Bjørnstad ◽

...

Keyword(s):

Patient Satisfaction ◽

High Patient Satisfaction ◽

Open Arthrolysis ◽

Follow Up Study

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The use of propofol sedation for transrectal ultrasonography-guided prostate biopsy is associated with high patient satisfaction and acceptability

European Journal of Radiology ◽

10.1016/j.ejrad.2006.12.010 ◽

2007 ◽

Vol 63 (1) ◽

pp. 94-95 ◽

Cited By ~ 9

Author(s):

Ninaad S. Awsare ◽

James A. Green ◽

Beverley Aldwinckle ◽

Damian C. Hanbury ◽

Greg B. Boustead ◽

...

Keyword(s):

Patient Satisfaction ◽

Prostate Biopsy ◽

Transrectal Ultrasonography ◽

High Patient Satisfaction ◽

Propofol Sedation

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Return to Work After Primary Rotator Cuff Repair: A Systematic Review and Meta-analysis

The American Journal of Sports Medicine ◽

10.1177/0363546520975426 ◽

2021 ◽

pp. 036354652097542

Author(s):

Eric D. Haunschild ◽

Ron Gilat ◽

Ophelie Lavoie-Gagne ◽

Michael C. Fu ◽

Tracy Tauro ◽

...

Keyword(s):

Systematic Review ◽

Rotator Cuff ◽

Return To Work ◽

Rotator Cuff Repair ◽

Meta Analysis ◽

Work Outcomes ◽

Workers Compensation ◽

Work Intensity ◽

Rates Of Return ◽

Cuff Repair

Background: Rotator cuff tears are a prevalent pathology in injured workers, causing significant economic ramifications and time away from work. To date, published articles on work outcomes after rotator cuff repair have not been cumulatively assessed and analyzed. Purpose: To systematically review reports on return to work after rotator cuff repair and perform a meta-analysis on factors associated with improved work outcomes. Study Design: Systematic review and meta-analysis; Level of evidence, 4. Methods: A systematic review of return-to-work investigations was performed using PubMed, Embase, and the Cochrane Database of Systematic Reviews in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Individual studies reporting rates of return to previous work with level of evidence 1 to 4 were independently screened by 2 authors for inclusion, and study quality was assessed using the Methodologic Index for Non-randomized Studies and Newcastle-Ottawa Scale. Work outcome data were synthesized and analyzed using random effects modeling to identify differences in rates of return to previous work as a function of operative technique, work intensity, and workers’ compensation status. Results: Thirteen retrospective investigations comprising 1224 patients who underwent rotator cuff repair met inclusion criteria for this investigation. Across all investigations, a weighted average of 62.3% of patients returned to previous level of work at 8.15 ± 2.7 months (mean ± SD) after surgery. Based on random effects modeling, higher rates of return to previous work were identified with decreasing work intensity ( P < .001), while rates were similar between open and arthroscopic repair technique ( P = .418) and between workers’ compensation and non–workers’ compensation cohorts ( P = .089). All shoulder pain and functional outcome assessments demonstrated significant improvements at final follow-up when compared with baseline across all investigations. Conclusion: The majority of injured workers undergoing rotator cuff repair return to previous work at approximately 8 months after surgery. Despite this, >35% of patients are unable to return to their previous work level after their repair procedure. Similar rates of return to work can be anticipated regardless of workers’ compensation status and operative technique, while patients in occupations with higher physical intensity experience inferior work outcomes.

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Arthroscopic Treatment of Anterior Ankle Impingement

Foot & Ankle International ◽

10.1177/107110079701800708 ◽

1997 ◽

Vol 18 (7) ◽

pp. 418-423 ◽

Cited By ~ 40

Author(s):

Alberto Branca ◽

Luigi Di Palma ◽

Carmelo Bucca ◽

Camilla Sagarriga Visconti ◽

M. Di Mille

Keyword(s):

Preoperative Evaluation ◽

Stage Iv ◽

Ankle Arthroscopy ◽

Stage Iii ◽

Joint Cartilage ◽

Ankle Impingement ◽

Radiological Classification ◽

Invasive Techniques ◽

Anterior Ankle Impingement

Ankle arthroscopy has recently allowed the elaboration of less invasive techniques for the treatment of anterior impingement. Its indications, advantages, and drawbacks in this application are discussed. Between 1987 and 1994, 133 patients were treated for ankle impingement. Among them, 58 patients, 37 men and 21 women (mean age, 28.5 years), who had failed a trial of conservative treatment were treated by means of tibiotalar arthroscopy. Twenty-seven were athletes engaged in sports with abnormal stressing of the ankle. According to McDermott's radiological classification, there were 15 stage I cases, 23 stage II, 13 stage III, and 7 stage IV. Preoperative evaluation with a modified version of McGuire's scoring system gave 50 cases rated as “poor” (<60 points) and 8 cases rated as “fair” (60–67 points). Treatment consisted of removal of adhesions, cartilage shaving, and removal of the bone impingement with powered instruments, curettes, or small osteotomes. Follow-up was from 8 to 62 months (mean, 21.5 months). The postoperative McGuire ratings were 37 good, 13 fair, and 8 poor. There were no major complications. Recurrence of impingement was observed in four cases of stage III and IV. The conclusion is drawn that ankle arthroscopy is a sound method for the treatment of anterior impingement. Even in cases with severe joint cartilage impairment, it plays a therapeutic role as a means of postponing a possible arthrodesis.

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Residents Achieve a High Patient Satisfaction in Pre-Anesthetic Patient Assessment. An Observational Study

Open Journal of Anesthesiology ◽

10.4236/ojanes.2014.411039 ◽

2014 ◽

Vol 04 (11) ◽

pp. 263-275

Author(s):

Ulrike Reuter ◽

Babette Jurack ◽

Nils Engelmann ◽

Thilo Busch ◽

Joerg Schnoor

Keyword(s):

Patient Satisfaction ◽

Observational Study ◽

Patient Assessment ◽

High Patient Satisfaction

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Arthroscopic Treatment of Anterior Ankle Impingement Syndrome in Dancers

Foot & Ankle International ◽

10.1177/107110070502601102 ◽

2005 ◽

Vol 26 (11) ◽

pp. 908-912 ◽

Cited By ~ 40

Author(s):

Aneel Nihal ◽

Donald J. Rose ◽

Elly Trepman

Keyword(s):

Soft Tissue ◽

Soft Tissues ◽

Case Series ◽

Scar Tissue ◽

Nonoperative Treatment ◽

Impingement Syndrome ◽

Arthroscopic Treatment ◽

Dance Performance ◽

Ankle Impingement ◽

Anterior Ankle Impingement

Background: The purpose of this study was to evaluate the results of arthroscopic treatment of anterior bony and soft-tissue impingement of the ankle in elite dancers. Methods: The study is a case series retrospectively reviewed. In the period between 1990 and 1999, 11 elite dancers (12 ankles) had ankle arthroscopy after a diagnosis of anterior ankle impingement that markedly interfered with their dancing. Initial nonoperative treatment failed in all subjects. Previous ankle trauma was noted in all subjects. There were seven women and four men (average age 28 years). Tibiotalar exostoses were radiographically noted in six ankles. Standard anteromedial and anterolateral arthroscopic portals and instrumentation were used for resection of bone spurs and debridement of impinging soft tissues. Patients were nonweightbearing for 5 days after surgery and had postoperative physiotherapy. Results: Nine dancers returned to full dance activity at an average of 7 weeks after surgery. One patient did not return to dance performance because of concurrent unrelated orthopaedic problems, but he resumed work as a dance teacher; he developed a recurrent anterior tibial spur that was successfully resected at a second arthroscopy 9 years later. Another dancer developed postoperative scar-tissue impingement and stiffness; she had a repeat arthroscopy 4 months after the initial procedure and subsequently returned to dance performance. All patients eventually had marked postoperative improvement in pain relief and dance performance. Conclusions: Arthroscopic debridement is an effective method for the treatment of bony and soft-tissue anterior ankle impingement syndrome in dancers and has minimal morbidity.

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