In the name of god

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In the name of god
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Impact of obesity on the arthroscopic treatment
of anterolateral impingement syndrome of the
ankle (ALISA)

• Mohsen Mardani-Kivi, M.D.
• Orthopedic Department, Guilan University Of
  Medical Sciences

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Introduction

• Obesity a serious problem / one in three adults
  in some countries.
• obesity significantly increased the chances of
  having tendinitis, plantar fasciitis, and OA and
  increased stress on the soft tissues and joints.

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Introduction

• ALISA
• chronic ankle pain for gt 3months with tenderness
  of anterolateral region worsened with
  dorsiflexion
• chronic pain secondary to hypertrophy or
  disruption of the anterolateral ligament or
  capsule of the ankle (repeated traumatic injuries
  or tensions)

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The purpose of the study

• To determine the effect of obesity on the
  arthroscopic findings and functional outcomes
  following arthroscopic treatment of the ALISA

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Materials and Methods
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Materials and Methods
The patients with instability of the ankle joint
and/or OA of the ankle (Scranton IV) were
excluded from the study.
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Arthroscopic intervention

• GA anesthesia / supine position /
• Standard portals of the anterolateral and
  anteromedial of the ankle joint
• Debridement of the synovial hypertrophy and
  anterolateral scarring and scraping of any
  possible spurs.

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Results
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Results

• AOFAS scores of both obese and non-obese group
  showed significant improvement in 6th and 12th
  follow up visits (Plt0.001).
• AOFAS scores of the non-obese patients were
  improved more than those of the obese patients,
  yet it was not statistically significance.

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The non-obese patients had a higher AOFAS score
in compare with the obese individuals but it was
not statistically significant.

• joints.

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Results

• patients with chondral lesion had higher BMI than
  those who did not have this lesion (Plt0.05).
• Other diagnosed lesions were poorly related to
  higher BMI, and none of them reached significant
  difference.

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Results the arthroscopy results by BMI
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Discussion

• In our previous study, we reported that
  arthroscopic treatment relieved the symptoms of
  pain and improved ankle function considerably
  both for patients with or without chondral
  lesions

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• joints.

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Discussion

• While many surgeons expect that increased BMI has
  a negative effect on surgical morbidity, this is
  not the case about ALISA, with regards to the
  present study.

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Conclusion

• Our findings indicate that arthroscopic treatment
  of the ankle is effective on both obese and
  non-obese patients.

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Thank you for your attention