Comparison of Broström technique, suture anchor repair, and tape augmentation for reconstruction of the anterior talofibular ligament

Schuh, Reinhard; Benca, Emir; Willegger, Madeleine; Hirtler, Lena; Zandieh, Shahin; Holinka, Johannes; Windhager, Reinhard

doi:10.1007/s00167-015-3631-7

Cited by 97 publications

(76 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There has been a drive to accelerate the recovery process by augmenting the repair using a suture tape and interference screw construct called an InternalBraceTM (Arthrex, Naples, FL) [94]. Use of this device in cadaver models has been shown to increase the mean ultimate load to failure as compared to a Broström with suture or suture anchors or even the native ATFL [95][96][97]. However, it does not improve proprioception in a similar manner as imbricating the ligaments.…”

Section: Anatomic Ligament Repairmentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

Purpose of review Ankle sprains, which account for 40% of sports injuries in the USA, can lead to chronic ankle instability. Chronic ankle instability can be classified as functional, mechanical, or a combination of both and is diagnosed using a combination of a physical exam, an MRI, and stress radiographs. This review focuses on different approaches to treatment, including non-operative and operative techniques, of chronic ankle instability, including reviewing traditional procedures as well as more novel and newer techniques. Recent findings Based on existing literature, non-operative treatment should always precede operative treatment of chronic ankle instability. If rehabilitation fails, Brostrom-Gould type ankle stabilization has been the preferred surgical option. Recent literature suggests that arthroscopic repair might reduce recovery time and improve outcomes in certain populations; however, there are higher rates of complication following these surgeries. In more high-risk populations, some literature reports that ligament repair with peroneus brevis transfer could be a more effective treatment option. Summary Currently, varying surgical techniques exist for the treatment of chronic ankle instability. While the more recently reported techniques show promise, it is important to note that there is little evidence showing they are more successful than traditional techniques. It is imperative that future studies focus on outcomes and complication rates of these newer procedures.

show abstract

Section: Anatomic Ligament Repairmentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

View full text Add to dashboard Cite

show abstract

“…In most lateral ankle sprains, the soft tissue is subjected to excessive stresses caused by momentum of the body on the inverted foot, which amplifies the degree of internal rotation, inversion, and plantar flexion. The presented setup and applied internal rotation moment mimic both, the momentum of the body (bodyweight in motion) and excessive rotations during a sprain inducing maximum stress to the lateral ankle . Second, the physiological ankle is stabilized passively by anatomic structures and shoes but also actively by ankle stabilizing muscles (m. peroneus longus, m. tibialis anterior, and m. gastrocnemius).…”

Section: Discussionmentioning

confidence: 99%

“…The Steinmann pin is then locked in a guide block attached to the platform. The guide block of the platform enables anterior‐to‐posterior motion of the hindfoot during internal rotation, allowing anterior translation of the talus . Torsion was applied by internal rotation of the tibia against the fixated calcaneus from 0° to 40° in order to simulate stresses in lateral ligaments during a vivo ankle sprain.…”

Section: Methodsmentioning

confidence: 99%

“…The guide block of the platform enables anteriorto-posterior motion of the hindfoot during internal rotation, allowing anterior translation of the talus. [16][17][18][19] Torsion was applied by internal rotation of the tibia against the fixated calcaneus from 0° to 40° in order to simulate stresses in lateral ligaments during a vivo ankle sprain. The angle of 40° was chosen upon the experience of the authors and aimed to induce maximum moment without causing a lesion of the stabilizing structures.…”

Section: Mechanical Testingmentioning

confidence: 99%

“…The presented setup and applied internal rotation moment mimic both, the momentum of the body (bodyweight in motion) and excessive rotations during a sprain [17][18][19] inducing maximum stress to the lateral ankle. 16 Second, the physiological ankle is stabilized passively by anatomic structures 18,19 and shoes 12,30 but also actively 31 by ankle stabilizing muscles (m. peroneus longus, m. tibialis anterior, and m. gastrocnemius). In this in vitro study, active stabilization was not included, which might have influenced the overall resisting moment.…”

Section: F I G U R Ementioning

confidence: 99%

See 2 more Smart Citations

Biomechanical evaluation of different ankle orthoses in a simulated lateral ankle sprain in two different modes

Benca

Ziai

Hirtler

et al. 2019

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

Ankle orthoses are commonly used for prevention of recurrent ankle sprains. While there are some data on their functional performance or restriction of range of motion, there is little knowledge on the quantifiable passive mechanical effectiveness of various devices. This study aimed to determine the prophylactic stabilization effect for commonly prescribed ankle orthoses in a simulated recurrent ankle sprain. Eleven anatomic lower leg specimens were tested in plantar flexion and hindfoot inversion in a simulated ankle sprain in a quasi‐static and dynamic test mode at 0.5°/s and 50°/s internal rotation, respectively. Tests included intact specimens, same specimens with the ruptured anterior talofibular ligament (ATFL), followed by stabilization with five different semi‐rigid orthoses: AirGo Ankle Brace, Air Stirrup Ankle Brace, Dyna Ankle 50S1, MalleoLoc, and Aequi. Compared to the injured and unprotected state, two orthoses (AirGo and Air Stirrup) significantly reinforced the ankle. The Aequi ankle brace restored stability comparable to an intact joint. Dyna Ankle 50S1 and MalleoLoc provided insufficient resistance to applied internal rotation compared to the ankle with ruptured ATFL. Ankle orthoses varied significantly in their ability to stabilize the unstable ankle during an ankle sprain in both testing modes. Presented objective data on passive stabilization reveal a lack of supporting evidence for clinical application of ankle orthoses.

show abstract