Clinical Outcomes of the Modified Broström Technique in the Management of Chronic Ankle Instability After Early, Intermediate, and Delayed Presentation

Hassan, Sami; Thurston, Daniel; Sian, Tanvir S; Shah, Rohi; Aziz, Abdul; Kothari, Paresh

doi:10.1053/j.jfas.2017.12.003

Cited by 20 publications

(18 citation statements)

References 24 publications

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“…Thus, the results of this study are in agreement with previously reported findings 6,7 . AOFAS clinical outcome scores improved significantly in the CLAI cohort following surgery, indicating successful surgical outcomes, also as expected based on the literature 4 . The most interesting result is the relationship between T2 values and patient outcome scores.…”

supporting

confidence: 92%

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Editorial for “Cartilage Matrix Changes in Hindfoot Joints in Chronic Ankle Instability Patients After Anatomic Repair Using T2‐Mapping: Initial Experience With 3‐Year Follow‐Up”

Wheaton

2021

Magnetic Resonance Imaging

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supporting

confidence: 92%

“…Well‐established surgical methods exist to address the clinical problem, the Broström‐Gould technique being primary among them. The use of this surgical method is supported by data as measured by clinical outcomes of patient satisfaction, ankle stability, and physical activity 4 . However, as scientists and researchers we are left with more questions.…”

mentioning

confidence: 99%

Editorial for “Cartilage Matrix Changes in Hindfoot Joints in Chronic Ankle Instability Patients After Anatomic Repair Using T2‐Mapping: Initial Experience With 3‐Year Follow‐Up”

Wheaton

2021

Magnetic Resonance Imaging

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“…18 Clinically, the first-line surgical treatment for CLAI is the open Broström-Gould surgery. 13,27 This procedure has the advantage of effective restoration of lateral stability of the ankle joint without the need for tendon transplantation. To date, a growing number of surgeons have performed the all-inside arthroscopic Broström-Gould procedure for the treatment of CLAI.…”

Section: Introductionmentioning

confidence: 99%

Functional Results of All-Inside Arthroscopic Broström-Gould Surgery With 2 Anchors Versus Single Anchor

et al. 2020

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Background: The all-inside arthroscopic Broström-Gould technique gained particular attention among clinicians and researchers due to its high rate of satisfactory results. Thus far, there is a lack of evidence regarding the differences in clinical outcomes between the use of 1 anchor and 2 anchors. The purpose of this study was to compare the differences in clinical function and activity levels in patients treated with 1 or 2 anchors in all-inside arthroscopic Broström-Gould surgery for chronic lateral ankle instability (CLAI). Methods: The data of 75 patients with CLAI (unilateral) admitted from May 2013 to July 2016 were retrospectively analyzed. All patients were treated with all-inside arthroscopic Broström-Gould surgery. The patients were divided into a single-anchor group ( n = 36) and double-anchor group ( n = 39) according to the number of anchors used. There was no statistical difference in general characteristics between the 2 groups before surgery. After 36 to 72 months of follow-up, the pain visual analog scale (VAS) score, American Orthopaedic Foot & Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS), and Foot and Ankle Outcome Score (FAOS) were used to evaluate and compare the clinical function results between the 2 groups. Results: The incidence of wound complications; reaction to the suture; injury to the nerve, blood vessel, or tendon; and length of postoperative hospitalization were similar between the 2 groups. At the last follow-up, there was no significant difference in the VAS and AOFAS scores between single- and double-anchor groups, but the KAFS and FAOS in the double-anchor group were significantly higher than in the single-anchor group. Additionally, more patients in the double-anchor group returned to preinjury sports activities. Conclusion: All-inside arthroscopic Broström-Gould surgery for the treatment of CLAI yielded a better functional effect and better recovery to preinjury mobility when 2 anchors were used instead of a single anchor. Level of Evidence: Level III, comparative study.

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“…What is more, systemic inflammatory factors also have a role in the recovery process after ALLR. For patients with diabetes, hypertension, gout, and osteoporosis, the increase of systemic inflammation is a common feature, and the incidence of residual pain, feeling of instability, and limited ROM after ALLR is higher [ 10 ]. Therefore, evaluating the level of systemic inflammation before ALLR may help to predict the postoperative outcomes.…”

Section: Introductionmentioning

confidence: 99%

Preoperative Lymphocyte-to-Monocyte Ratio Can Indicate the Outcomes in Repair of I-III Degree Injury of Lateral Ankle Ligament

Yuan

Wang

Zhu

et al. 2022

BioMed Research International

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Background. This study is aimed at exploring the prognostic value of preoperative lymphocyte-to-monocyte ratio (LMR), an index of systemic inflammation before operation, in ankle lateral ligament repair (ALLR). Methods. A total of 213 I-III degrees injuries of lateral ankle ligament patients received ALLR and were followed up for more than 2 years. Univariate and multivariable linear regression analysis was used to determine the relationship between preoperative LMR and postoperative recovery. The evaluations of postoperative recovery include American Orthopaedic Foot and Ankle Society (AOFAS) score, Karlsson-Peter ankle score (KPAS), Cumberland Ankle Instability Tool (CAIT) score, Visual Analog Scale (VAS) score, and range of motion (ROM). The prognostic value of preoperative LMR was measured by receiver operating characteristic (ROC) curve. Results. 178 patients (178 ankles) were followed up successfully, with a follow-up of 2.82 ± 1.54 years. Overall, the mean AOFAS, KPAS, CAIT and VAS scores, and ankle varus angle were significantly improved at the final follow-up. Univariate and multiple linear regression analysis showed that preoperative LMR was the only independent factor associated with postoperative function, ROM, and pain. The preoperative LMR of patients with poor recovery was significantly lower than that of patients with good recovery. Based on the ROC analysis, the cutoff value of preoperative LMR was 3.824. The clinical outcomes of patients with preoperative LMR < 3.824 were significantly lower than that of patients with preoperative LMR ≥ 3.824 . The corresponding specificity and sensitivity were 84.6% and 71.4%. Conclusion. The clinical outcomes of open or arthroscopic repair for ATFL injury are satisfactory. As a marker of systemic inflammation, preoperative LMR can be used as a prognostic indicator for ALLR.

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Clinical Outcomes of the Modified Broström Technique in the Management of Chronic Ankle Instability After Early, Intermediate, and Delayed Presentation

Cited by 20 publications

References 24 publications

Editorial for “Cartilage Matrix Changes in Hindfoot Joints in Chronic Ankle Instability Patients After Anatomic Repair Using T2‐Mapping: Initial Experience With 3‐Year Follow‐Up”

Editorial for “Cartilage Matrix Changes in Hindfoot Joints in Chronic Ankle Instability Patients After Anatomic Repair Using T2‐Mapping: Initial Experience With 3‐Year Follow‐Up”

Functional Results of All-Inside Arthroscopic Broström-Gould Surgery With 2 Anchors Versus Single Anchor

Preoperative Lymphocyte-to-Monocyte Ratio Can Indicate the Outcomes in Repair of I-III Degree Injury of Lateral Ankle Ligament

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