Return to Play after Modified Broström Operation for Chronic Ankle Instability in Elite Athletes

Abstract

Background This study assessed the average time to return to training and official game participation after modified Broström operation (MBO) in elite athletes. Methods Sixty athletes diagnosed with lateral ankle instability underwent MBO from October 2011 to December 2013. Their average age was 19.3 years, and the average follow-up time was 28.8 months. We measured the time sequence of three phases of rehabilitation: start of personal training, start of team training, and start of the first official game after recovery. Patients were divided into an early return to play (RTP) group and late RTP group. The groups were compared to identify possible risk factors affecting the RTP time. Results The mean length of time to return to personal training was 1.9 months, return to team training was 2.9 months, and return to competitive play was 3.9 months. There were no significant differences of any variables including age, sex, body mass index, level of sports, grade of instability, presence of os subfibulare, and preoperative functional score between the early RTP and late RTP groups. Conclusions The RTP was 83.3% at 4 months after lateral ankle ligament repair and 100% at 8 months postoperatively. The results provide reference data for orthopedic surgeons in evaluating surgical results and informing patients about expectations after surgery in terms of performance level and timing of return to sports.

Validation and cross-cultural adaptation of the Korean translation of the Achilles tendon Total Rupture Score

“…Until now, no validated questionnaire specific to the evaluation of clinical outcomes of treatment for Achilles tendon rupture, such as the VISA-V [ 29 ] or Leppilahti score [ 30 ], has been validated in Korean. Therefore, we used the FAOS to evaluate the validity of the Korean translation of the ATRS because the FAOS has been validated in Korean and has been used to assess the outcomes of Achilles tendon rupture, as well as the validity of other translations of the ATRS [ 5 , 6 , 11 , 12 , 18 , 31 ]. In previous validation studies, the correlation with the FAOS ranged from 0.6 to 0.84 in a Swedish [ 5 ], 0.72 to 0.87 in Dutch [ 12 ], 0.61 to 0.8 in Norwegian [ 6 ], and 0.55 to 0.83 in Persian populations [ 11 ].…”

Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium‐ and Long‐Term Functional Follow‐Up

“…Because the residual ATFL ligament in CLAI is still of good quality, and the position of the ligament is superficial, the Broström procedure and modified Broström procedure for suturing extensor retinaculum have become the standard procedures for treatment of CLAI since Broström reported successful treatment of CLAI in 1996 by the direct repair of ATFL. Although the previous reports indicated that use of the Broström procedure of direct repair of ATFL for CLAI has achieved satisfactory clinical results, there was still a 6% to 25% complication rate including ankle pain, ankle swelling, and recurrence of lateral ankle instability. With the development of orthopaedic endoscopy, some clinicians adopted arthroscopy‐assisted ATFL repair, first using arthroscopy to deal with ankle and surrounding lesions, and then performing open suture repair for ATFL.…”

Reliability and Validity of The Korean Translation of The Achilles Tendon Total Rupture Score

“…Until now, no validated questionnaire speci c to the evaluation of clinical outcomes of treatment for Achilles tendon rupture, such as the VISA-V [27] or Leppilahti score [28], has been validated in Korean. Therefore, we used the FAOS to evaluate the validity of the Korean translation of the ATRS because the FAOS has been validated in Korean and has been used to assess the outcomes of Achilles tendon rupture, as well as the validity of other translations of the ATRS [4,5,11,17,29]. The overall correlation between the Korean translation of the ATRS and the FAOS was above 0.7.…”