Functional Treatment After Surgical Repair for Acute Lateral Ligament Disruption of the Ankle in Athletes

Abstract

Nonoperative functional treatment alone and functional treatment after primary surgical repair showed similar overall results after acute lateral ankle sprain, but functional treatment alone had an approximately 10% failure rate and a slower return to full athletic activity. The authors recommend that treatment be tailored to suit each individual athlete.

Arthroscopic Broström repair with Gould augmentation via an accessory anterolateral port for lateral instability of the ankle

“…Lateral instability of the ankle is commonly associated with ankle sprain in sports activities [1]. Most patients are successfully managed conservatively, but approximately 10 % need surgical correction due to chronic ankle instability [1].…”

“…Most patients are successfully managed conservatively, but approximately 10 % need surgical correction due to chronic ankle instability [1]. The purpose of the procedure is to restore ankle stability and function.…”

Cochrane in CORR ®: Surgical Versus Conservative Treatment for Acute Injuries of the Lateral Ligament Complex of the Ankle in Adults (Review)

“…A single trial published by Prins [10] in 1978 demonstrated several benefits of surgical management -results that differed substantially from other published trials, including several more-recent and better-designed efforts [8,[11][12][13] -and greatly influenced the pooled estimate for many outcomes. The pronounced and, occasionally differing, direction of Prins' results may be attributable to the trial being only quasi-randomized, resulting in no concealment of treatment allocation or blinding.…”

Simultaneous Use of Lateral Calcaneal Ostectomy and Subtalar Arthroscopic Debridement for Residual Pain After a Calcaneal Fracture

“…Each patient presented with all 4 of these conditions. The Japanese Society of Surgery of the Foot hindfoot score (17,18), including related symptoms, subtalar movement (13), and complications, and the numeric pain intensity scale (range 1 to 10, with 10 the "worst pain" before surgery) (19) were assessed preoperatively by 2 of us (I.Y., R.I.), at 1, 3, 6, and 12 months after surgery and then annually until the final follow-up visit. The movement of the subtalar joint was measured as a percentage of the movement on the normal side by 2 of us (I.Y., R.I.).…”