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Evidence-based indications for hindfoot endoscopy

  • Ankle
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

An Erratum to this article was published on 12 March 2016

Abstract

Purpose

The 2-portal hindfoot endoscopic technique with the patient in prone position, first introduced by van Dijk et al. (Arthroscopy 16:871–876, 2000), is currently the most used by foot and ankle surgeons to address endoscopically pathologies located in the hindfoot. This article aims to review the literature to provide a comprehensive description of the level of evidence available to support the use of the 2-portal hindfoot endoscopy technique for the current generally accepted indications.

Methods

A comprehensive review was performed by use of the PubMed database to isolate literature that described therapeutic studies investigating the results of different hindfoot endoscopy treatment techniques. All articles were reviewed and assigned a classification (I–V) of level of evidence. An analysis of the literature reviewed was used to assign a grade of recommendation for each current generally accepted indication for hindfoot endoscopy. A subscale was used to further describe the evidence base for indications receiving a grade of recommendation indicating poor-quality evidence.

Results

On the basis on the available evidence, posterior ankle impingement syndrome, subtalar arthritis and retrocalcaneal bursitis have the strongest recommendation in favour of treatment (grade Cf).

Conclusion

Although a low level of evidence of the included studies, the review showed that adequate literature to support the use of the 2-portal endoscopic techniques for most currently accepted indications exists. Future “higher quality” evidence could strengthen current recommendations and further help surgeons in evidence-based practice.

Level of evidence

Level V, Review of Level III, IV and V studies.

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Authors and Affiliations

  1. IRCCS Policlinico San Donato, Via Morandi 30, 20097, San Donato Milanese, Milan, Italy

    Pietro Spennacchio, Davide Cucchi & Pietro S. Randelli

  2. Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy

    Davide Cucchi & Pietro S. Randelli

  3. Department of Orthopaedic Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam Zuid-Oost, The Netherlands

    Niek C. van Dijk

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  1. Pietro Spennacchio
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  2. Davide Cucchi
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  4. Niek C. van Dijk
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Correspondence to Davide Cucchi.

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Spennacchio, P., Cucchi, D., Randelli, P.S. et al. Evidence-based indications for hindfoot endoscopy. Knee Surg Sports Traumatol Arthrosc 24, 1386–1395 (2016). https://doi.org/10.1007/s00167-015-3965-1

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  • DOI: https://doi.org/10.1007/s00167-015-3965-1

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