Möglichkeiten der Arthroskopie bei Arthrose am oberen Sprunggelenk
摘要
Arthroscopy of the upper ankle joint (tibiotalar joint) has become established as a minimally invasive standard procedure for the diagnostics and treatment of a wide range of intra-articular pathologies of this joint, both in acute care and in the management of chronic complaints. Ankle arthroscopy enables an interventional treatment of osseous and soft tissue impingement, loose bodies, adhesive restrictions of motion, osteochondral lesions and instability. In particular, arthroscopy for osteoarthritis of the ankle joint has become increasingly established in recent years and has demonstrated good clinical outcomes. Technical innovations and advances in instrumentation have expanded the spectrum of indications and reduced complication rates; however, further studies are required to assess the long-term prognosis and to identify patients with the best possible outcomes. Arthroscopic examination and treatment of the ankle joint is now an indispensable pillar of orthopedic and trauma care and can be applied in a targeted manner both after failure of conservative treatment and in acute injuries.