Mid-term follow-up evaluation of a new arthroscopic Broström procedure for chronic lateral ankle instability
Abstract Background Chronic lateral ankle instability (CLAI) usually progresses from a previous lateral ankle sprain that was not treated properly. Several procedures have been introduced to address these patients, including open or arthroscopic techniques, the most common of which is the Broström p...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-03789-3 |
| _version_ | 1827956689980096512 |
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| author | Zhongdi Liu Hao Lu Yusong Yuan Zhongguo Fu Hailin Xu |
| author_facet | Zhongdi Liu Hao Lu Yusong Yuan Zhongguo Fu Hailin Xu |
| author_sort | Zhongdi Liu |
| collection | DOAJ |
| description | Abstract Background Chronic lateral ankle instability (CLAI) usually progresses from a previous lateral ankle sprain that was not treated properly. Several procedures have been introduced to address these patients, including open or arthroscopic techniques, the most common of which is the Broström procedure. Here, we describe a new outside-in arthroscopic Broström procedure and its results for treating patients with CLAI. Methods Thirty-nine patients (16 male and 23 female; mean age, 35 years [range, 16–60 years]) with CLAI were treated arthroscopically after failing non-operative management. All patients were symptomatic with a combination of recurrent ankle sprains, “giving way,” and avoidance of sports and presented with a positive anterior drawer test upon the physical examination. All patients underwent arthroscopic lateral ligament reconstruction using the new technique. Patient characteristics and pre- and postoperative visual analog scale (VAS), American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale system (AOFAS), and Karlsson scores were recorded. Results The mean AOFAS score increased from 48 (mean 48, range 33–72) preoperatively to 91 (mean 91, range 75–98) at the final follow-up, Karlsson–Peterson and FAAM scores were also significantly improved. Two patients (5.13%) reported superficial peroneal nerve irritation symptoms postoperatively. Three patients (7.69%) complained of mild pain anteroinferior to the lateral ankle. Conclusions The arthroscopic outside-in Broström procedure with a single suture anchor was a safe, effective, and reproducible technique for CLAI. Ankle stability resumed with a high clinical success rate. The main complication was injury to the superficial peroneal nerve, which crossed the area of repair. |
| first_indexed | 2024-04-09T15:08:46Z |
| format | Article |
| id | doaj.art-a41b419c425142f7a2c827487b5a75b3 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-09T15:08:46Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-a41b419c425142f7a2c827487b5a75b32023-04-30T11:22:18ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-04-011811710.1186/s13018-023-03789-3Mid-term follow-up evaluation of a new arthroscopic Broström procedure for chronic lateral ankle instabilityZhongdi Liu0Hao Lu1Yusong Yuan2Zhongguo Fu3Hailin Xu4National Center for Trauma Medicine, Ministry of Education Key Laboratory of Trauma and Neural Regeneration, Trauma Medicine Center, Peking University People’s HospitalDepartment of Trauma and Orthopedics, Peking University People’s HospitalDepartment of Trauma and Orthopedics, Peking University People’s HospitalDepartment of Trauma and Orthopedics, Peking University People’s HospitalDepartment of Trauma and Orthopedics, Peking University People’s HospitalAbstract Background Chronic lateral ankle instability (CLAI) usually progresses from a previous lateral ankle sprain that was not treated properly. Several procedures have been introduced to address these patients, including open or arthroscopic techniques, the most common of which is the Broström procedure. Here, we describe a new outside-in arthroscopic Broström procedure and its results for treating patients with CLAI. Methods Thirty-nine patients (16 male and 23 female; mean age, 35 years [range, 16–60 years]) with CLAI were treated arthroscopically after failing non-operative management. All patients were symptomatic with a combination of recurrent ankle sprains, “giving way,” and avoidance of sports and presented with a positive anterior drawer test upon the physical examination. All patients underwent arthroscopic lateral ligament reconstruction using the new technique. Patient characteristics and pre- and postoperative visual analog scale (VAS), American Orthopedic Foot and Ankle Society Ankle-Hindfoot Scale system (AOFAS), and Karlsson scores were recorded. Results The mean AOFAS score increased from 48 (mean 48, range 33–72) preoperatively to 91 (mean 91, range 75–98) at the final follow-up, Karlsson–Peterson and FAAM scores were also significantly improved. Two patients (5.13%) reported superficial peroneal nerve irritation symptoms postoperatively. Three patients (7.69%) complained of mild pain anteroinferior to the lateral ankle. Conclusions The arthroscopic outside-in Broström procedure with a single suture anchor was a safe, effective, and reproducible technique for CLAI. Ankle stability resumed with a high clinical success rate. The main complication was injury to the superficial peroneal nerve, which crossed the area of repair.https://doi.org/10.1186/s13018-023-03789-3Chronic ankle instabilityAnkle arthroscopyLigament repairTreatment |
| spellingShingle | Zhongdi Liu Hao Lu Yusong Yuan Zhongguo Fu Hailin Xu Mid-term follow-up evaluation of a new arthroscopic Broström procedure for chronic lateral ankle instability Journal of Orthopaedic Surgery and Research Chronic ankle instability Ankle arthroscopy Ligament repair Treatment |
| title | Mid-term follow-up evaluation of a new arthroscopic Broström procedure for chronic lateral ankle instability |
| title_full | Mid-term follow-up evaluation of a new arthroscopic Broström procedure for chronic lateral ankle instability |
| title_fullStr | Mid-term follow-up evaluation of a new arthroscopic Broström procedure for chronic lateral ankle instability |
| title_full_unstemmed | Mid-term follow-up evaluation of a new arthroscopic Broström procedure for chronic lateral ankle instability |
| title_short | Mid-term follow-up evaluation of a new arthroscopic Broström procedure for chronic lateral ankle instability |
| title_sort | mid term follow up evaluation of a new arthroscopic brostrom procedure for chronic lateral ankle instability |
| topic | Chronic ankle instability Ankle arthroscopy Ligament repair Treatment |
| url | https://doi.org/10.1186/s13018-023-03789-3 |
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