Twenty-six-Year Results after Broström Procedure for Chronic Lateral Ankle Instability

Abstract

Background The procedure described by Broström has been used to address chronic lateral ankle instability; the long-term results of this procedure have not been reported. Hypothesis The Broström procedure provides good results over the long term for active patients with chronic lateral ankle instability. Study Design Case series; Level of evidence, 4. Methods Thirty-one male patients (32 ankles) who underwent the Broström procedure for chronic lateral ankle instability while enrolled as students at the United States Naval Academy were identified. Each patient was mailed a questionnaire that included a functional outcome measure as described by Roos et al, a score described by Good et al, and a single-number ankle functional assessment. The mean age was 20.7 years (range, 18-23 years) at the time of operation. A functional outcome score was completed on each patient, with a mean follow-up of 26.3 years (range, 24.6-27.9 years). Results The follow-up included 22 of the 31 original patients. The mean numeric score for overall ankle function was 91.2 of 100 (standard deviation, 10.2). The foot and ankle outcome score (described by Roos et al) was 92.0 (92%; standard deviation, 12.8) averaged over 5 functional areas. Ninety-one percent of the patients described their ankle function as good or excellent using the scale devised by Good et al. Conclusion The long-term results of the Broström procedure for chronic lateral ankle instability are excellent with 26-year follow-up.

Operative treatment of lateral ligament instability

“…Multiple studies demonstrated satisfaction rate of over 90% after modified Broström procedure [66,68,93]. Although the Broström procedure is generally considered a highly successful operation, the recovery typically involves a prolonged period of immobilization and rehabilitation.…”

Epidemiology and Mechanisms of Ankle Pathology in Football

“…Anatomic repair of the ATFL using the Bröstrom-Gould modifi ed technique in the presence of CFL insuffi ciency has been shown to be highly successful with reports of 93 % excellent results at an average of 64 months follow-up [ 102 ], 80 % excellent or good results at 6 years follow-up [ 103 ], and 91 % good-to-excellent results at 26 years follow-up [ 104 ]. Major advantages of this method are its simplicity and small incision size [ 105 ].…”

Management and prevention of acute and chronic lateral ankle instability in athletic patient populations

“…The use of a periosteal flap from the fibula, as well as autologous free tendon graft and allograft augments, has also been well described with favorable results [75,76,78] . Furthermore, sustained excellent patient outcomes have been reported by Bell et al [95] at greater than 20-year follow-up, and this procedure has demonstrable success in high-demand athletes [96] . Anatomic tenodesis procedures have recently been the subject of multiple investigations and have demonstrated promising results [54,74,87,88,97] .…”