Functional effects of arthroscopic modified Broström procedure on lateral ankle instability: A pilot study

Cao, Shengxuan; Chen, Yungu; Zhu, Yunchao; Jiang, Shuyun; Wang, Xu; Wang, Chen; Ma, Xin

doi:10.1016/j.fas.2023.02.004

Cited by 2 publications

(1 citation statement)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It should be noted that the present study primarily encompassed patients participating in recreational or lower-level sports activities. Further studies on high-demand athletes are yet needed to compare the sports functions and sprain recurrence between the two procedures, and objective evaluations such as foot pressure, postural control and proprioception analysis should be conducted [3,17,23,25].…”

Section: Discussionmentioning

confidence: 99%

Both arthroscopic one‐step Broström–Gould and Lasso‐loop stitch techniques achieved favourable clinical outcomes for chronic lateral ankle instability

Liu,

Su,

Wang

et al. 2024

Knee surg. sports traumatol. arthrosc.

View full text Add to dashboard Cite

PurposeBoth the arthroscopic Broström–Gould and Lasso‐loop stitch techniques are commonly used to treat chronic lateral ankle instability (CLAI). The purpose of this study is to introduce an arthroscopic one‐step outside‐in Broström–Gould (AOBG) technique and compare the mid‐term outcomes of the AOBG technique and Lasso‐loop stitch technique.MethodsAll CLAI patients who underwent arthroscopic lateral ankle stabilization surgery in our department from 2018 to 2019 were retrospectively enrolled. The patients were divided into two groups according to the surgical methods employed: the AOBG technique (Group A) and the Lasso‐loop technique (Group B). The visual analogue scale pain score, American Orthopaedic Foot and Ankle Society ankle hindfoot score, Tegner activity score and Karlsson–Peterson score were evaluated preoperatively and during the follow‐up from June to December 2022. The surgical duration, return to sports, sprain recurrence and surgical complications were also recorded and compared.ResultsA total of 74 patients (Group A, n = 42; Group B, n = 32) were included in this study with a mean follow‐up of 39 months. No statistically significant differences were observed in demographic parameters or follow‐up time between the two groups. Postoperative clinical scores indicated a significant improvement (all with p < 0.001) with no significant difference between the two groups (not significant [n.s.]). There was no significant difference in the surgical duration (46.1 vs. 49.7 min, n.s.), return to sports (92.9% vs. 93.8%, n.s.), or sprain recurrence (4.8% vs. 6.3%, n.s.). Only two cases in Group A reported knot irritation (4.8% vs. 0, n.s.), and one case in Group A experienced local skin numbness (0 vs. 3.1%, n.s.), with no significant difference.ConclusionBoth the AOBG and Lasso‐loop stitch techniques yielded comparable favourable mid‐term outcomes and return to sports with a low rate of surgical complications. Both procedures could be feasible strategies for CLAI patients.Level of EvidenceLevel III.

show abstract

Section: Discussionmentioning

confidence: 99%

Both arthroscopic one‐step Broström–Gould and Lasso‐loop stitch techniques achieved favourable clinical outcomes for chronic lateral ankle instability

Liu,

Su,

Wang

et al. 2024

Knee surg. sports traumatol. arthrosc.

View full text Add to dashboard Cite

show abstract

Concomitant osteochondral lesion of the talus affects in vivo ankle kinetics in patients with chronic ankle instability

Cao,

Chen,

Zhu

et al. 2024

Bone Joint Res

View full text Add to dashboard Cite

AimsThis cross-sectional study aimed to investigate the in vivo ankle kinetic alterations in patients with concomitant chronic ankle instability (CAI) and osteochondral lesion of the talus (OLT), which may offer opportunities for clinician intervention in treatment and rehabilitation.MethodsA total of 16 subjects with CAI (eight without OLT and eight with OLT) and eight healthy subjects underwent gait analysis in a stair descent setting. Inverse dynamic analysis was applied to ground reaction forces and marker trajectories using the AnyBody Modeling System. One-dimensional statistical parametric mapping was performed to compare ankle joint reaction force and joint moment curve among groups.ResultsThe patients with OLT showed significantly increased dorsiflexion moment in the ankle joint compared with healthy subjects during 38.2% to 40.9% of the gait cycle, and increased eversion moment in the ankle joint compared with patients without OLT during 25.5% to 27.6% of the gait cycle. Compared with healthy subjects, the patients with OLT showed increased anterior force during 42% to 43% of the gait cycle, and maximal medial force (p = 0.005, ηp2 = 0.399).ConclusionThe patients with concomitant CAI and OLT exhibit increased dorsiflexion and eversion moment, as well as increased anterior and medial ankle joint reaction force during stair descent, compared with patients with CAI but without OLT and healthy subjects, respectively. Thus, a rehabilitative regimen targeting excessive ankle dorsiflexion and eversion moment may help to reduce ankle joint loading.Cite this article: Bone Joint Res 2024;13(12):716–724.

show abstract

Functional effects of arthroscopic modified Broström procedure on lateral ankle instability: A pilot study

Cited by 2 publications

References 41 publications

Both arthroscopic one‐step Broström–Gould and Lasso‐loop stitch techniques achieved favourable clinical outcomes for chronic lateral ankle instability

Both arthroscopic one‐step Broström–Gould and Lasso‐loop stitch techniques achieved favourable clinical outcomes for chronic lateral ankle instability

Concomitant osteochondral lesion of the talus affects in vivo ankle kinetics in patients with chronic ankle instability

Contact Info

Product

Resources

About