Traitement arthroscopique de l’instabilité latérale chronique de la cheville : résultats d’une série prospective multicentrique de 286 patients

Lopes, Ronny; Andrieu, Michaël; Cordier, Guillaume; Molinier, F.; Benoist, Jonathan; Colin, Fabrice; Thès, André; Elkaïm, Marc; Boniface, Olivier; Guillo, Stéphane; Bauer, Thomas; d’arthroscopie, la Société francophone

doi:10.1016/j.rcot.2018.09.012

Cited by 1 publication

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“…The main finding of the present study is that the arthroscopic Broström-Gould technique is comparable to open Broström-Gould procedure in ATFL repair for chronic lateral ankle instability. The postoperative evaluation with a minimum of 48 months of Recently, many authors have proposed performing the Broström-Gould procedure completely with arthroscopy (9,21,22). With a mean follow-up of 9.8 years, Nery et al documented the long-term outcomes of arthroscopic ankle stabilization in 38 patients, whose got the mean AOFAS score was 90 at the last follow-up (14).…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic vs. open Broström-Gould for repairing anterior talofibular ligament: mid-term outcomes comparison

et al. 2023

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IntroductionThere have been few mid-term follow-up studies comparing arthroscopic and open Broström-Gould repair of the anterior talofibular ligament (ATFL). The purpose of this study was to evaluate the mid-term therapeutic effectiveness of arthroscopic ATFL repair with open Broström-Gould repair for chronic lateral ankle instability.MethodsWe retrospectively reviewed the database of patients with chronic lateral ankle instability undergoing repair of the ATFL from June 2014 to June 2018. The choice of surgical approach will depend on computer-generated randomization. In total, 49 patients underwent the arthroscopic Brostrom-Gould technique (group AB), while the other 50 patients underwent the open Broström-Gould technique (group OB). The surgery duration, hospitalization time, postoperative complications, the preoperative/postoperative manual anterior drawer test (ADT), Visual analog scale (VAS) scores, American Orthopaedic Foot & Ankle Society (AOFAS) scores, Karlsson-Peterson (K-P) scores, and Tegner activity scores were collected for comparative analysis during the follow-up period of 48 months.ResultsAt the final follow-up, the clinical outcomes, including ADT, VAS, AOFAS, K-P, and Tegner activity scores, were significantly improved after either arthroscopic or open treatment. Specifically, the AOFAS and K-P scores in the group AB were significantly higher than those in the group OB at 6 months post-surgery (P < 0.05). Additionally, there were no significant differences in other clinical outcomes and postoperative complications between the two groups.ConclusionsArthroscopic has predictable and good mid-term results after ATFL and may be a secure and effective alternative to open Broström-Gould repair.

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