Hindfoot endoscopy for posterior ankle pain.

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Abstract

[Indexed for MEDLINE] 16. Open Access J Sports Med. 2010 Jul 5;1:95-103. doi: 10.2147/oajsm.s7752. Minimally invasive surgery for Achilles tendon pathologies. Maffulli N(1), Longo UG, Spiezia F, Denaro V. Author information: (1)Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, London, England. Minimally invasive trauma and orthopedic surgery is increasingly common, though technically demanding. Its use for pathologies of the Achilles tendon (AT) hold the promise to allow faster recovery times, shorter hospital stays, and improved functional outcomes when compared to traditional open procedures, which can lead to difficulty with wound healing because of the tenuous blood supply and increased chance of wound breakdown and infection. We present the recent advances in the field of minimally invasive AT surgery for tendinopathy, acute ruptures, chronic tears, and chronic avulsions of the AT. In our hands, minimally invasive surgery has provided similar results to those obtained with open surgery, with decreased perioperative morbidity, decreased duration of hospital stay, and reduced costs. So far, the studies on minimally invasive orthopedic techniques are of moderate scientific quality with short follow-up periods. Multicenter studies with longer follow-up are needed to justify the long-term advantages of these techniques over traditional ones. DOI: 10.2147/oajsm.s7752 PMCID: PMC3781859