Functional Comparison of Horizontal Mattress Suture <i>Versus</i><scp>Free‐Edge</scp> Suture in the <scp>All‐Inside</scp> Arthroscopic <scp>Broström–Gould</scp> Procedure for Chronic Lateral Ankle Instability

Feng, Shi-Ming; Han, Meng; Wang, Aiguo; Fan, Jiaqiang

doi:10.1111/os.12817

Cited by 7 publications

(20 citation statements)

References 34 publications

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“…At a median follow-up of 6 years, significant improvements of the VAS, AOFAS, and Tegner scores were recorded in both groups. The arthroscopic modified Broström procedure with microfracture should be considered a reasonable method for CLAI patients with OLTs [ 41 ]. The modified Broström procedure and microfracture are a viable surgical option for the patient with CLAI and OLTs [ 42 , 43 ].…”

Section: Discussionmentioning

confidence: 99%

Limited medial osteochondral lesions of the talus associated with chronic ankle instability do not impact the results of endoscopic modified Broström ligament repair

Feng

Chen

et al. 2022

J Orthop Surg Res

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Background The arthroscopic modified Broström procedure, with repair of the anterior talofibular ligament and extensor retinaculum, produces good functional outcomes in patients with chronic lateral ankle instability (CLAI). CLAI can be associated with osteochondral lesions of the talus (OLTs). It remains unclear whether associated limited OLTs affect clinical outcomes in such patients. Methods This retrospective cohort study included 92 CLAI patients with and without OLTs undergoing an all-inside arthroscopic modified Broström procedure from June 2016 to May 2019. The patients were divided into non-lesion group (n = 32) and lesion group (n = 60) according to whether CLAI was associated or not with OLTs. All the osteochondral lesions less than 15 mm in diameter were managed with bone marrow stimulation techniques (arthroscopic microfracture) at the time of the arthroscopic modified Broström procedure. The Visual Analogue Scale (VAS) scores, American Orthopedic Foot and Ankle Society (AOFAS) scores, Karlsson Ankle Function Score (KAFS), Anterior Talar Translation (ATT), Active Joint Position Sense (AJPS), and the rate of return to sports were compared in both groups. Results Increase in all the functional scores (VAS, AOFAS, KAFS, ATT, and AJPS) in both groups was, respectively, recorded 1 year and 2 years after surgery. At the 1-year and 2-year follow-up, there was no significant difference in the VAS, AOFAS, KAFS, ATT, and AJPS scores between the non-lesion and lesion groups. Conclusion In patients with CLAI who underwent an arthroscopic modified Broström procedure, the presence of limited OLTs (less than 15 mm in diameter), which required arthroscopic microfracture, did not exert any influence on outcome. Level of Evidence Level III, a retrospective comparative study.

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Section: Discussionmentioning

confidence: 99%

Limited medial osteochondral lesions of the talus associated with chronic ankle instability do not impact the results of endoscopic modified Broström ligament repair

Feng

Chen

et al. 2022

J Orthop Surg Res

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“…The exercise participation rate of the two-anchor group (69.2%) was signi cantly higher than that of the oneanchor group (36.1%). Li et al [10] treated 51 patients with CAI (20 cases with one-anchor and 31 cases with two-anchor) with horizontal mattress suture in ABG. After at least 2 years of follow-up, AOFAS in the two groups were not statistically signi cant (90 ± 9 vs 91 ± 10).…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, the modi ed Broström procedure for ATFL repair assisted by ankle arthroscopy has been widely used and veri ed in biomechanics and clinical practice [5][6][7][8][9][10]. Many studies have reported encouraging results using single anchors [11,[16][17][18].…”

Section: Discussionmentioning

confidence: 99%

“…Clinically, the main suture methods were horizontal mattress suture, imbricated, free-edge suture [10][11][12]. Feng et al [10] recently conducted a study on the clinical e cacy of different suture methods in the treatment of CAI during ABG.…”

Section: Introductionmentioning

confidence: 99%

“…At present, there was no uni ed standard for the suture method of ABG for the treatment of CAI, and most surgeons choose the suture fashion according to their own preferences. Clinically, the main suture methods were horizontal mattress suture, imbricated, free-edge suture [10][11][12]. Feng et al [10] recently conducted a study on the clinical e cacy of different suture methods in the treatment of CAI during ABG.…”

Section: Introductionmentioning

confidence: 99%

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Functional Results of Modified Mason-Allen Suture versus Horizontal Mattress Suture in the Arthroscopic Broström-Gould Procedure for Chronic Ankle Instability

Liu

Chen

et al. 2022

Preprint

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Background: The arthroscopic Broström-Gould procedure (ABG) gained particular attention among clinicians and researchers due to its high rate of satisfactory results. At present, there is a lack of evidence regarding the differences in clinical outcomes for the difference suture method. The purpose of this study was to compare the differences in clinical effect in patients treated with one-anchor modified Mason-Allen suture or two-anchor horizontal mattress suture for chronic ankle instability (CAI).Methods: This retrospective cohort study examined CAI patients who underwent either one-anchor modified Mason-Allen suture or two-anchor horizontal mattress suture ABG between January 2018 and January 2020. Patients were divided into two groups based on the suture knot type used and associated number of anchors. The Visual Analog Scale (VAS), American Orthopedic Foot & Ankle Society (AOFAS) Score, Karlsson Ankle Functional Score (KAFS), the rate of return to sports, complications, and measured biomechanical strength using standardized equipment in both groups.Results: A total of 64 CAI patients were included (one-anchor modified Mason-Allen suture group n=30, two-anchor horizontal mattress suture group n=34). There were no postoperative complications in two groups, and no significant differences in the VAS, AOFAS and KAFS in postoperative follow-up between two groups, and no significant differences in the rate of return to sports and postoperative ligament strength between two groups at 1 and 2 years after surgery. The operative time of one-anchor modified Mason-Allen suture group were significantly lower (27.0±4.7 min vs 41.5±5.9 min). Conclusion: ABG using one-anchor modified Mason-Allen suture showed comparable clinical results to two-anchor horizontal mattress suture in the treatment of CAI at intermediate-term follow-up time. But one-anchor modified Mason-Allen suture may be a faster, simpler and cost-effective substitute technology.Level of Evidence: Level Ⅲ, comparative study.

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High body mass index is not a contraindication for an arthroscopic ligament repair with biological augmentation in case of chronic ankle instability

Guiraud,

Nunes,

Vega

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose Obesity remains frequently mentioned as a contraindication for lateral ankle ligament repair. The aim of the study was to compare the clinical results of an arthroscopic lateral ligament repair with biological augmentation between patients with a body mass index (BMI) of more than 30 and less than 30. Methods Sixty-nine patients with an isolated lateral ankle instability were treated with an arthroscopic anterior taloibular ligament (ATFL) repair with biological augmentation using the inferior extensor retinaculum (IER). Patients were divided into two groups according to their BMI: ≥ 30 (Group A; n = 26) and < 30 (Group B; n = 43). Patients were pre-and postoperatively evaluated, with a minimum of 2 years follow-up, and using the Karlsson Score. Characteristics of the patients, complications, ankle instability symptoms recurrence, and satisfaction score were recorded. Results In group A, the median Karlsson Score increased from 43.5 (Range 22-72) to 85 (Range 37-100) at follow-up. Complications were observed in seven patients (27%). Nineteen patients (73%) reported that they were "very satisied". One patient (4%) described persistent ankle instability symptoms. In group B, the median Karlsson Score increased from 65 (Range 42-80) to 95 (Range 50-100) at follow-up. Complications were observed in four patients (9%). Thirty-three patients (77%) reported that they were "very satisied". Two patients (5%) described persistent ankle instability symptoms. Pre-operative and at last follow-up Karlsson Score, results were signiicantly diferent between the two groups. There was no signiicant statistical diference in favour of satisfaction score, complications and recurrence of ankle instability between the two groups. Conclusion ATFL repair with biological augmentation using IER gives excellent results for patients with BMI ≥ 30. Compared to patients with BMI < 30, they present a slightly lower preoperative and postoperative Karlsson score, however, with a similar satisfaction rate, but are at higher risk of transient supericial peroneal nerve dysesthesia. Level of evidence Level III.

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Functional Comparison of Horizontal Mattress Suture VersusFree‐Edge Suture in the All‐Inside Arthroscopic Broström–Gould Procedure for Chronic Lateral Ankle Instability

Cited by 7 publications

References 34 publications

Limited medial osteochondral lesions of the talus associated with chronic ankle instability do not impact the results of endoscopic modified Broström ligament repair

Limited medial osteochondral lesions of the talus associated with chronic ankle instability do not impact the results of endoscopic modified Broström ligament repair

Functional Results of Modified Mason-Allen Suture versus Horizontal Mattress Suture in the Arthroscopic Broström-Gould Procedure for Chronic Ankle Instability

High body mass index is not a contraindication for an arthroscopic ligament repair with biological augmentation in case of chronic ankle instability

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