Combination of Modified Broström Procedure With Ankle Arthroscopy for Chronic Ankle Instability Accompanied by Intra-articular Symptoms

Hua, Yinghui; Chen, Shiyi; Li, Yunxia; Chen, Jiwu; Li, Hong

doi:10.1016/j.arthro.2010.02.002

Cited by 150 publications

(105 citation statements)

References 15 publications

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“…17,18 Other studies found intra-articular lesions on arthroscopy in 90-97% of the patients seen in secondary care. 19,20 The percentages of abnormalities found in these latter studies are much higher compared with those of the present study. Although this difference could be attributed to the techniques applied, it is most likely caused by the different study populations.…”

Section: Comparison With Existing Literaturecontrasting

confidence: 54%

Structural abnormalities and persistent complaints after an ankle sprain are not associated: an observational case control study in primary care

et al. 2014

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Section: Comparison With Existing Literaturecontrasting

confidence: 54%

Structural abnormalities and persistent complaints after an ankle sprain are not associated: an observational case control study in primary care

et al. 2014

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show abstract

“…On the basis of the postoperative AOFAS score, the outcome was rated as excellent (90-100), good (80-89), fair (70-79), or poor (<70) [13].…”

Section: Resultsmentioning

confidence: 99%

Endoscopic treatment of Haglund’s syndrome with a three portal technique

Hua

et al. 2012

International Orthopaedics (SICOT)

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Purpose The purpose of our study is to make a retrospective evaluation of endoscopic treatment of Haglund's syndrome using a new three portal technique. Methods All 23 patients (25 heels) with a mean age of 27.7 years were evaluated pre-operatively and postoperatively with parallel pitch lines, the American Orthopaedic Foot and Ankle Society (AOFAS) score and the Ogilvie Harris score. Results The mean follow-up was 41 months (range, 30-59 months). There were no obvious complications in our study. In 22 heels, postoperative lateral radiographs showed the achievement of negative parallel pitch lines. The average AOFAS score improved from 63.3±11.9 points pre-operatively to 86.8±10.1 points at final follow-up. There were 14 excellent results, seven good results, two fair results and two poor results. For the Ogilvie Harris score, there were 15 excellent, seven good, one fair, and two poor results. Conclusion An endoscopic procedure using the three portal technique seemed to be a safe and efficacious option for surgical treatment of Haglund's syndrome.

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“…With noninvasive ankle traction, a 2.7-mm, 30°arthroscope was inserted through a standard anteromedial portal to examine the ankle joint. Any intra-articular disorders were assessed and managed, with debridement for grade I or II cartilage injuries, microfracture for grade III or IV cartilage injuries, excision of the osteophytes, impinged soft tissue, synovitis or fibrous tissue adherent to the lateral gutter and removal of loose bodies [11].…”

Section: Patientsmentioning

confidence: 99%

Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft

Hua

Chen

Jin³

et al. 2012

International Orthopaedics (SICOT)

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Purpose The purpose of our study is to evaluate the clinical results of anatomical reconstruction of the lateral ligaments with semitendinosus allograft. Methods Thirty-six patients with chronic lateral instability underwent anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft. The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale score (AOFAS score) and the Karlsson score were used to evaluate the clinical results before and after surgery. Results A total of 35 patients (97.2 %) (36 ankles) were followed up for a mean of 37.9 months. The mean AOFAS score improved from 42.3±4.9 points preoperatively to 90.4± 6.7 postoperatively. The mean Karlsson score improved from 38.5±3.2 preoperatively to 90.1±7.8 postoperatively.Conclusions Anatomical reconstruction of the lateral ligaments with semitendinosus allograft achieves a satisfactory surgical outcome for chronic ankle instability.Ankle sprains are reported to be the most common sports injury and account for 10∼15 % of sports-related injuries [1][2][3]. Although the majority of the patients have successful results after conservative treatment, up to 20-40 % have mechanical instability requiring operative intervention [4,5].There are various operative procedures to treat chronic lateral ankle instability. If the patient has a weak remnant of the lateral ligament, generalised joint laxity or previous failed operation for lateral ankle instability, anatomical lateral ligament reconstruction is always suggested [6].Several kinds of graft are used for the anatomical ligament reconstruction. Compared to the autograft, an allograft has the advantages of no donor site morbidity, shorter operation time and less postoperative pain [7]. Furthermore, with the improvement of the sterilisation technique, some potential complications, for example, the potential for disease transmission, osteolytic reactions, etc., have been markedly decreased [7,8]. Up to now, there have been few reports about the use of allograft for lateral ankle ligament reconstruction. We use a semitendinosus allograft in lateral ankle ligament reconstruction and propose that anatomical reconstruction of the lateral ligaments with this allograft can achieve a satisfactory surgical outcome for chronic ankle instability.

show abstract

Combination of Modified Broström Procedure With Ankle Arthroscopy for Chronic Ankle Instability Accompanied by Intra-articular Symptoms

Cited by 150 publications

References 15 publications

Structural abnormalities and persistent complaints after an ankle sprain are not associated: an observational case control study in primary care

Structural abnormalities and persistent complaints after an ankle sprain are not associated: an observational case control study in primary care

Endoscopic treatment of Haglund’s syndrome with a three portal technique

Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft

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