Outcome of a Modified Broström-Gould Procedure for Lateral Ankle Instability

Details

Serval ID
serval:BIB_E63BB25581B5
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Abstract (Abstract): shot summary in a article that contain essentials elements presented during a scientific conference, lecture or from a poster.
Collection
Publications
Institution
Title
Outcome of a Modified Broström-Gould Procedure for Lateral Ankle Instability
Title of the conference
71e Congrès Annuel de la Société Suisse d'Orthopédie et de Traumatologie (SSOT)
Author(s)
Winkler M., Bürer Y., Burn A., Vial N., Crevoisier X.
Address
Lausanne, Suisse, 22-24 juin 2011
ISBN
1424-7860
ISSN-L
0036-7672
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
141
Series
Swiss Medical Weekly
Pages
21S
Language
english
Abstract
Introduction: Ankle sprains affect 200'000 persons/year in Switzerland.
Most incidences are successfully treated by conservative measures
but 20% require reconstruction for symptomatic chronic lateral
ankle instability. This study evaluates the functional outcome after a
modified Broström-Gould technique as measured by different clinical
scores and compares the functional outcome of this technique with
other surgical treatments of ankle instability.
Methods: This retrospective cohort study evaluates 47 patients who
underwent a modified Broström-Gould procedure using suture anchors
to refix the lateral ankle capsuloligamentary structures at our institution
from 2005 to 2009 with a minimum follow-up of one year (13-72 Mo).
All patients were operated by one single surgeon and evaluated by an
independent examiner. The function was assessed using 4 scores
including: the AOFAS (American Orthopaedic Foot and Ankle Society's
Score) hindfoot score; the FAAM (Foot and Ankle Ability Measurement);
the CAIT (Cumberland Ankle Instability Tool); the CAIS (Chronic
Ankle Instability Scale).
Results: Six patients were excluded leaving 41 patients for examination.
34 patients (83%) thought that their ankle was more stable after
the surgery, 7 (17%) did not feel any difference. 27 patients were very
satisfied, 11 satisfied and 3 not satisfied. Reasons for non satisfaction
included persistent instability and pain. Ankle mobility returned to
normal in 93% of patients. Five patients had transcient hypoesthesy in
the area of the superficial peroneal nerve. One patient suffered from a
superficial infection treated successfully by local measures. 80% had
the perception of a normal ankle, 20% thought to be below normal.
At follow-up the AOFAS was 89/100 (37-100), the FAAM 85/100%
(35-100%), the CAIT 20/30 (5-30), and the CAIS 74/100% (27-100%).
Conclusions: The modified Broström-Gould procedure, which belongs
to the anatomic ankle stabilizations is relatively simple and offers good
outcome that satisfied 93% of the patients in the present study. No
active stabilisator is sacrificed. Preservation of the ankle mobility is
better and the complication rate is lower than after non-anatomical
procedures described in the literature. The CAIT appeared as the most
severe score compared to the other scales used in our study.
Create date
09/02/2012 17:05
Last modification date
20/08/2019 16:09
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