ObjectivesGood short-term outcomes have been described for endoscopic treatment of posterior ankle impingement. However, long-term outcome is unknown. The aim of this study is to determine the long-term patient satisfaction after endoscopic treatment and evaluate the recurrence rate of posterior ankle impingement. In addition, the aim of this study is to identify factors associated with favourable long-term outcome.MethodsA consecutive series of patients treated endoscopically for posterior ankle impingement between 2000 and 2011 in the Academic Medical Centre in Amsterdam were retrospectively reviewed. Primary outcome was patient satisfaction. Secondary outcome measures were function, pain, recurrence rate and Foot Ankle Outcome Scores. In addition, factors associated with long-term outcome were identified.ResultsTwo-hundred and three patients with 5–15 years of follow-up were included. Median satisfaction score was 8/10 and for 9/10 for function . Patients had no pain at follow-up. Outcome was similar for different types of impingement and type or level of sport participation. Symptoms recurred in 5% of the patients. In a multivariable analysis, additional flexor hallucis longus (FHL) tendinopathy was associated with lower satisfaction and a higher recurrence rate.ConclusionLong-term outcome of endoscopic treatment for posterior ankle impingement demonstrated good results, with high patient satisfaction, good functional outcome scores and a low rate of recurrence for all types of posterior ankle impingement. Type and level of sports did not influence outcome. Only the presence of FHL tendinopathy was associated with lower satisfaction and a higher recurrence rate.Level of evidenceLevel IV.
Long-term outcome of laser ablation alone or in combination with endocardial resection in ventricular tachycardia
