Treatment of chronic lateral ankle instability: a modified broström technique using three suture anchors

Li, Xinning; Lin, Timothy J.; Busconi, Brian D.

doi:10.1186/1749-799x-4-41

Cited by 23 publications

(23 citation statements)

References 22 publications

(15 reference statements)

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“…23 Many surgeons have adapted the procedure to include the use of suture anchors with good results. 20,22,25 Our data suggested that none of the anchors pulled out of bone during testing. Thus, we are not able to comment on pull-out strength in this study because the mode of failure was always at the tissue level.…”

Section: Discussionmentioning

confidence: 93%

Biomechanical Comparison of an All-Soft Suture Anchor With a Modified Broström-Gould Suture Repair for Lateral Ligament Reconstruction

et al. 2014

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The particular implant choice (suture only, tunnel, anchor) in repairing the lateral ligament complex may not be as important as the time to biological healing. The suture-only construct as described in the Broström-Gould repair was as strong as all-soft suture anchors, and the majority of the ankles failed at the tissue level. For those surgeons whose preference is to use anchor repair, this novel all-soft suture anchor may be an alternative to other larger anchors, as none failed by pullout.

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Section: Discussionmentioning

confidence: 93%

Biomechanical Comparison of an All-Soft Suture Anchor With a Modified Broström-Gould Suture Repair for Lateral Ligament Reconstruction

et al. 2014

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“…Surgery is recommended in patients with chronic lateral ankle instability resistant to conservative methods, so as to restore stability, prevent intra-articular derangement and avoid early osteoarthritis [1,8,9,15,17]. The Broström technique, possibly associated with the Gould modification, is the gold standard of all proposed surgical repair techniques for chronic lateral ankle instability [1,12,31,32]. It requires that the ligament remnant should not be too weak, damaged or too scarred to allow a stable good quality repair.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes and Return to Sport After Minimally Invasive Reconstruction of the Lateral Ligament Complex with Semitendinosus Tendon Autograft in Chronic Lateral Ankle Instability

Usuelli¹,

Indino²,

Silvestri³

et al. 2021

Journal of the American Podiatric Medical Association

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Background: Ankle sprains are common, affecting especially the lateral ligament complex of the ankle, often leading to chronic symptoms and instability. Many procedures have been described for chronic ankle instability. This study analyses clinical outcomes and returns to sport in patients who underwent minimally invasive reconstruction of the lateral ligaments complex of the ankle with a semitendinosus tendon autograft.Methods: Twenty-three patients (mean age: 33.9 years) with grade 3 lesion of both anterior-talofibular (ATFL) and calcaneofibular (CFL) ligaments, underwent minimally invasive reconstruction of the ATFL and CFL ligaments with an ipsilateral semitendinosus tendon autograft. They were retrospectively reviewed and return to sport was evaluated with the Halasi ankle activity scale.Results: The mean follow-up was 30 months (range 26-53 months). The mean AOFAS score increased from 68.6 to 95.3 point. The average VAS decreased from 3.6 to 1.3. The Halasi score changed from 5.0 to 5.1. Excepts for Halasi, the differences were statistically significant (p <0.001).19 patients judged the received treatment as excellent, 2 as good. No revision procedures were performed. No major complications were reported. Conclusions: This study confirms good clinical and sports outcomes following minimally invasive reconstruction of the lateral ligaments complex of the ankle with a semitendinosus autograft.

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“…Various techniques including the use of suture anchors, part of the peroneus brevis tendon, or a distal fibula periosteal flap have been described. 12,13,23,25 The periosteal flap augmentation technique has since been used by several other authors with good outcomes. 3,7,8,[24][25][26] The purported benefits include the use of a small incision, avoidance of a foreign implant with its attendant risks and costs, and preservation of local tendons.…”

Section: Discussionmentioning

confidence: 99%

Effect of Periosteal Flap Augmentation on Outcomes of Modified Broström-Gould Procedure for Chronic Lateral Ankle Instability

Tay

Chew

Lie

2020

Foot & Ankle Orthopaedics

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Background: Chronic lateral ankle instability is relatively common after ankle sprains. The modified Broström-Gould procedure (MBG) is the gold standard operative treatment but has a known failure rate of up to 10%, or even more in high-risk groups. Periosteal flap augmentation (PFA) has been proposed to strengthen the repair. This study aimed to compare the outcomes of MBG with and without PFA. Methods: A matched-pair study was performed based on prospectively collected registry data for all patients undergoing lateral ankle ligament reconstruction in a tertiary institution. Patients who underwent the MBG with PFA were matched in a 1:1 ratio with patients undergoing MBG alone, based on age, gender, and body mass index (BMI). Patients with generalized ligamentous laxity or obesity were excluded. Clinical outcome scores were compared preoperatively and 2 years postoperatively. A total of 48 patients were included in the study (24 in each group). The mean age was 24.1 years, mean BMI was 23.1, and all patients were male. The baseline demographics and clinical scores in both groups were similar. Results: At 2 years postoperatively, both groups demonstrated significantly improved AOFAS Ankle-Hindfoot scores ( P < .001), but there were no between-group differences in total AOFAS scores (PFA score 90, MBG score 88, P = .79). There were no recurrences of instability or revision surgeries. Conclusion: Routine PFA did not improve the outcomes of MBG for chronic lateral ankle instability in the absence of risk factors for failure. Further studies are warranted to determine if there is a long-term benefit for augmentation in this population. Level of Evidence: Level III, retrospective comparative study.

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Treatment of chronic lateral ankle instability: a modified broström technique using three suture anchors

Cited by 23 publications

References 22 publications

Biomechanical Comparison of an All-Soft Suture Anchor With a Modified Broström-Gould Suture Repair for Lateral Ligament Reconstruction

Biomechanical Comparison of an All-Soft Suture Anchor With a Modified Broström-Gould Suture Repair for Lateral Ligament Reconstruction

Clinical Outcomes and Return to Sport After Minimally Invasive Reconstruction of the Lateral Ligament Complex with Semitendinosus Tendon Autograft in Chronic Lateral Ankle Instability

Effect of Periosteal Flap Augmentation on Outcomes of Modified Broström-Gould Procedure for Chronic Lateral Ankle Instability

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