Comparison of Bone Tunnel and Suture Anchor Techniques in the Modified Broström Procedure for Chronic Lateral Ankle Instability

Hu, Caihong; Lee, Keun-Bae; Song, Eun-Kyoo; Kim, Myung-Sun; Park, Kyung-Soon

doi:10.1177/0363546513490647

Cited by 46 publications

(37 citation statements)

References 31 publications

(35 reference statements)

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“…In 1966, Broström12 was the first to describe direct repair of a remnant ATFL ligament with suture. In 1980, Gould et al 13 modified this procedure with advancement of the inferior extensor retinaculum; this procedure was further modified by Hu et al, 14 who used bone tunnels or suture anchors to repair both the ATFL and CFL back to the fibula. Patients whose ligament’s remnants are preserved are good candidates for reconstruction with the modified Broström-Gould procedure.…”

Section: Introductionmentioning

confidence: 99%

Return to sport following lateral ankle ligament repair is under-reported: a systematic review

et al. 2017

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ImportanceAnkle sprains are the most commonly occurring musculoskeletal injury. Reconstruction of the lateral ligament complex is often required for athletes with recurrent instability, or high-grade acute sprains, in order to return to their pre-injury level of sport.ObjectiveThe purpose of this systematic review was to evaluate the spectrum, prevalence and quality of evidence regarding return to sport timeline following lateral ligament surgery.Evidence reviewA search was conducted of Embase and Medline databases from the earliest possible entry to November 2016. Studies reporting a timeline regarding return to play (RTP) following lateral ankle ligament reconstruction were included in this review.FindingsOf 3184 total articles, 20 articles evaluating 489 athletes met the criteria and were included for review. Thirteen of the 20 papers were used to calculate a weighted mean time to RTP of 4.7 months. Overall, both the frequency and quality of RTP criteria and reporting were very low.Conclusions and relevanceThe current review identifies a clear deficiency in the literature pertaining to consistent, meaningful postoperative RTP timeline following lateral ankle ligament repair. Published studies vary considerably in the metrics used for measuring patient-reported outcomes, and very few actually track them. Further studies on outcomes following ankle ligament repair should include clear and consistent metrics for return to sport and level of play. Standardised and reproducible criteria for reporting RTP for athletes will improve the utility and applicability of outcomes data as surgical and rehabilitative techniques continue to advance.Level of evidenceSystematic review of level I–IV studies, level IV.

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Section: Introductionmentioning

confidence: 99%

Return to sport following lateral ankle ligament repair is under-reported: a systematic review

et al. 2017

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“…[15][16][17] Biomechanical studies on rotator cuff repair techniques have compared transosseous tunnels versus traditional suture anchors and shown that transosseous tunnels provided more contact and greater distribution of contact pressures than traditional suture anchor fixation. 3,18 In a biomechanical study by Park et al, 19 transosseous-equivalent suture anchor fixation was compared with traditional single-row suture anchors.…”

Section: Discussionmentioning

confidence: 99%

Transosseous-Equivalent Repair for Distal Patellar Tendon Avulsion

Galos

Konda

Kaplan

et al. 2016

Arthroscopy Techniques

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Extensor mechanism disruptions are relatively uncommon injuries involving injury to the quadriceps tendon, patella, or patellar tendon. Patellar tendon avulsions from the tibial tubercle in adults are rare; as such, little technical information has been written regarding surgical management of this injury in the adult. Transosseous-equivalent repairs have been described in the management of several types of tendon ruptures, including rotator cuff and distal triceps tendon ruptures, but not previously in patellar injuries. We present a technique for repairing an avulsion injury of the patellar tendon from the tibial tubercle using suture anchors in a transosseous-equivalent manner. This technique for treating distal patellar tendon avulsion injuries likely increases contact area at the repair site while potentially improving fixation strength.

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“…This method is stronger, more secure, has remote chances of cut out of sutures without any additional increase in the cost of surgery [5]. Suture anchors are relatively expensive, with chances of pull out of anchors, anchor breakage, metal irritation, sterile inflammation and infection [6]. Bioabsorbable anchors which are a more desirable alternative to metallic fixation are advantageous in that they reduce the complications associated with the use of metal [7].…”

Section: Discussionmentioning

confidence: 99%

Osteotendinous Suturing for Anchorage of Medial Arthrotomy in Total Knee Arthroplasty

Agarwala¹,

Sharoff²,

Chaudhari³

2016

OJO

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Aim: To develop a method for closure of the arthrotomy wound and approximation of the medial periosteum at the level of tibial tuberosity after total knee arthroplasty in severe varus deformity. Method: We describe a technique of osteotendinous suturing through the tibial tuberosity for suturing of the medially elevated periosteum. Result: This is an easily reproducible technique which results in very early mobilisation and no additional complications and has several advantages over other methods of closure. Conclusion: The osteotendinous technique can be used for medial arthrotomy closure after correction of severe varus deformities and also after partial patellar tendon avulsions in total knee arthroplasty surgeries.

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Comparison of Bone Tunnel and Suture Anchor Techniques in the Modified Broström Procedure for Chronic Lateral Ankle Instability

Abstract: The bone tunnel and suture anchor techniques of the modified Broström procedure showed similar good functional and radiographic outcomes. Both techniques appear to be effective and reliable methods for the treatment of chronic lateral ankle instability.

Cited by 46 publications

References 31 publications

Return to sport following lateral ankle ligament repair is under-reported: a systematic review

Return to sport following lateral ankle ligament repair is under-reported: a systematic review

Transosseous-Equivalent Repair for Distal Patellar Tendon Avulsion

Osteotendinous Suturing for Anchorage of Medial Arthrotomy in Total Knee Arthroplasty

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