Medial and Lateral Combined Ligament Arthroscopic Repair for Multidirectional Ankle Instability: Case Series
Category: Arthroscopy; Sports Introduction/Purpose: The high prevalence of ankle sprains in the population produces a significant number of patients with lateral instability. Maintenance of this condition may lead to the progressive involvement of medial structures, causing a multidirectional rotati...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-01-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011421S00341 |
| _version_ | 1818332638668128256 |
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| author | Nacime S. Mansur MD Andre Vitor Lemos MD, MSc Daniel Baumfeld MD Tiago S. Baumfeld MD Marcelo P. Prado MD, PhD Fernando C. Raduan MD Caio A. Nery |
| author_facet | Nacime S. Mansur MD Andre Vitor Lemos MD, MSc Daniel Baumfeld MD Tiago S. Baumfeld MD Marcelo P. Prado MD, PhD Fernando C. Raduan MD Caio A. Nery |
| author_sort | Nacime S. Mansur MD |
| collection | DOAJ |
| description | Category: Arthroscopy; Sports Introduction/Purpose: The high prevalence of ankle sprains in the population produces a significant number of patients with lateral instability. Maintenance of this condition may lead to the progressive involvement of medial structures, causing a multidirectional rotational instability. Methods: This is a retrospective study with patients diagnosed with multidirectional instability, submitted to an ankle arthroscopy with medial (arthroscopic tensioning) and lateral repair (arthroscopic Bröstrom) between January 2018 and January 2020. All patients were evaluated for pain and function according to the VAS and the AOFAS Score at a mean of 14.8 months (5-27 months) in follow-up. Results: A total of 30 ankles (29 patients) were included in the study. AOFAS score increase from a 49.7 (CI 5.8) to a 91.9 (CI 2.4) mean (p=0.001) and was followed by significant improvement in the mean VAS (6.83; CI 0.37 to 0.95; CI 0.31). The majority of patients had associated procedures (53.3%) and a low complication rate was found (16.6%). Conclusion: Combined medial and lateral arthroscopic repair might be an effective and safe alternative in the treatment of multidirectional instability. Inclusion of the deltoid ligament complex and the low invasiveness of the arthroscopic technique can improve the clinical outcomes of these patients. |
| first_indexed | 2024-12-13T13:38:56Z |
| format | Article |
| id | doaj.art-c8e61a29de9740d190c05e983020a0cf |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-13T13:38:56Z |
| publishDate | 2022-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-c8e61a29de9740d190c05e983020a0cf2022-12-21T23:43:38ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142022-01-01710.1177/2473011421S00341Medial and Lateral Combined Ligament Arthroscopic Repair for Multidirectional Ankle Instability: Case SeriesNacime S. Mansur MDAndre Vitor Lemos MD, MScDaniel Baumfeld MDTiago S. Baumfeld MDMarcelo P. Prado MD, PhDFernando C. Raduan MDCaio A. NeryCategory: Arthroscopy; Sports Introduction/Purpose: The high prevalence of ankle sprains in the population produces a significant number of patients with lateral instability. Maintenance of this condition may lead to the progressive involvement of medial structures, causing a multidirectional rotational instability. Methods: This is a retrospective study with patients diagnosed with multidirectional instability, submitted to an ankle arthroscopy with medial (arthroscopic tensioning) and lateral repair (arthroscopic Bröstrom) between January 2018 and January 2020. All patients were evaluated for pain and function according to the VAS and the AOFAS Score at a mean of 14.8 months (5-27 months) in follow-up. Results: A total of 30 ankles (29 patients) were included in the study. AOFAS score increase from a 49.7 (CI 5.8) to a 91.9 (CI 2.4) mean (p=0.001) and was followed by significant improvement in the mean VAS (6.83; CI 0.37 to 0.95; CI 0.31). The majority of patients had associated procedures (53.3%) and a low complication rate was found (16.6%). Conclusion: Combined medial and lateral arthroscopic repair might be an effective and safe alternative in the treatment of multidirectional instability. Inclusion of the deltoid ligament complex and the low invasiveness of the arthroscopic technique can improve the clinical outcomes of these patients.https://doi.org/10.1177/2473011421S00341 |
| spellingShingle | Nacime S. Mansur MD Andre Vitor Lemos MD, MSc Daniel Baumfeld MD Tiago S. Baumfeld MD Marcelo P. Prado MD, PhD Fernando C. Raduan MD Caio A. Nery Medial and Lateral Combined Ligament Arthroscopic Repair for Multidirectional Ankle Instability: Case Series Foot & Ankle Orthopaedics |
| title | Medial and Lateral Combined Ligament Arthroscopic Repair for Multidirectional Ankle Instability: Case Series |
| title_full | Medial and Lateral Combined Ligament Arthroscopic Repair for Multidirectional Ankle Instability: Case Series |
| title_fullStr | Medial and Lateral Combined Ligament Arthroscopic Repair for Multidirectional Ankle Instability: Case Series |
| title_full_unstemmed | Medial and Lateral Combined Ligament Arthroscopic Repair for Multidirectional Ankle Instability: Case Series |
| title_short | Medial and Lateral Combined Ligament Arthroscopic Repair for Multidirectional Ankle Instability: Case Series |
| title_sort | medial and lateral combined ligament arthroscopic repair for multidirectional ankle instability case series |
| url | https://doi.org/10.1177/2473011421S00341 |
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