Summary

Ankle arthroscopy can directly observe and treat the pathological changes inside the ankle joint, offering accurate diagnosis for treating foci.

Abstract

Objective

To preliminarily investigate the clinical efficacy of ankle arthroscopic minimal invasive treatment for ankle joint tuberculosis.

Methods

All the patients had local swelling, tenderness, and antalgic gait. 29 cases of ankle joint tuberculosis from April 2008 to January 2012 in our department were treated with ankle arthroscopy, including 16 cases of arthroscopic clearance of tuberculosis foci and 13 cases of arthrodesis due to severe joint destruction. The diagnosis was based on a smear positive for acid-fast bacilli, histopathology, or clinicoradiological findings. After surgery, the patients were given combined, regular, adequate and consistent anti-tuberculosis treatment as well as nutritional support.

Results

The postoperative recovery of the patients was fast, and the general condition was tolerable. With an average follow-up of more than 12 months, the ankle swelling of the 29 patients was reduced, the pain was relieved, and the erythrocyte sedimentation rate was decreased; 1 case of sinus recurrence was cured after change of dressing. According to Baird ankle function score, 16 cases were excellent, 8 cases were good, 5 cases were tolerable, and the excellent and good rate was 82%.

Conclusion

Ankle arthroscopy can directly observe and treat the pathological changes inside the ankle joint, offering accurate diagnosis for treating foci. Arthroscopic surgery has less trauma, quick recovery, and is more effective.
Key words: ankle joint; arthroscopy; tuberculosis