Postoperative Outcome of the Modified Broström Procedure in the Active Duty Military Population: A Retrospective Cohort Study

Melton, Thomas J.; Dannenbaum, Joseph H.; Drayer, Nicholas J.; Robbins, Justin; Ryan, Paul M.

doi:10.1053/j.jfas.2017.11.026

Cited by 7 publications

(8 citation statements)

References 17 publications

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“…The range for Broström-related procedures was 73.2% (objective) to 94.7% (subjective). 9,10,12,14,15 The modified Watson-Jones procedure had a subjective satisfactory outcome of 80% and objective satisfactory outcome of 72%. 8 Colville's technique had an objective satisfactory outcome of 100%.…”

Section: Resultsmentioning

confidence: 96%

Treatment of Chronic Ankle Instability in the Military Population: A Systematic Review

Goodrich

Vopat

Herda

2022

Foot & Ankle Specialist

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Background The high incidence of ankle sprain within the military sets the stage for prevalent chronic ankle instability. The purpose of this review was to compare and evaluate chronic ankle instability treatment strategies in the military population. Methods Electronic databases were systematically searched in accordance with the Preferred Reporting Items for Systematic Reviews guidelines for English-language, human studies with a military patient population that had been diagnosed with and treated for chronic ankle instability. Exclusion criteria were animal, cadaver, and review studies and case reports. Results Eight studies met the inclusion criteria, representing 695 military service members—625 males (89.9%) and 70 females (10.1%)—and 4 treatment strategies: Broström-related procedures, modified Watson-Jones procedure, Colville’s technique, and anatomic lateral ligament reconstruction using semitendinosus tendon allograft. The percentage of satisfactory outcomes was 100% for Colville’s technique, and ranged from 73.2% to 94.7% for Broström-related procedures and 72% to 80% for the modified Watson-Jones procedure. Mean American Orthopaedic Foot and Ankle Society scores, anterior drawer displacement, talar tilt, and visual analogue scale scores were also reported. Conclusion This review demonstrates that the Bröstrom procedure has consistently satisfactory outcomes within the military population, and Colville’s technique is another promising option for this patient population but would require additional studies to support this claim. Levels of Evidence: Level IV

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Section: Resultsmentioning

confidence: 96%

Treatment of Chronic Ankle Instability in the Military Population: A Systematic Review

Goodrich

Vopat

Herda

2022

Foot & Ankle Specialist

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“…Multiple studies used different tests to determine rehabilitation from injury. These tests range include: single leg landing [8], asymmetry [9], risk factors [10], Functional Movement Screen (FMS) [11], the American Foot and Ankle Score Outcome (AOFAS), Single Assessment Numeric Evaluation (SANE) [12], and procedure and delaying outcomes [13][14][15].…”

Section: Resultsmentioning

confidence: 99%

“…It should be no surprise then that retrospective cohort studies were vastly overrepresented in this field of study. Other cohort studies included either single military units [ 9 ] or took individual hospital databases [ 12 , 14 ]. Notably absent from the design are randomized control trials (RCT).…”

Section: Reviewmentioning

confidence: 99%

Examination of Ankle Trauma in United States Military Members: A Scoping Review

Sinopoli¹,

Vasauskas²

2022

Cureus

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Military members, along with their injuries and expectations to return to duty, vary significantly from the general population. The purpose of this scoping review is to examine current literature pertaining to ankle injuries in United States military members and identify the research gaps. A scoping review was carried out with the PRISMA-ScR guidelines. A systematic search was utilized on three databases: PubMed, AMED, and Cochrane Library. The papers included were those of ankle injuries in the military. Exclusionary criteria included papers that did not have quantitative data, no full paper availability and non-US military. One hundred and fifty articles were screened, with nine meeting the inclusion criteria. Almost all of these were cohort by design. The focus was on a variety of tests for returning to active duty and the risks associated with individual factors for each service member. The study identified a lack of randomized control trials, underrepresentation of vulnerable subgroups within the US military, and no single test for ankle mobility and strength to return to duty. Prioritizing these deficiencies may help to save time and money within the US military healthcare system.

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“…A return to competitive sport was documented in 7 articles. 17 Retrospective, cohort 3 (.24) 8/11 Takao (2021) 54 Retrospective, cohort 3 NR 7/11 Kulwin (2021) 33 Prospective, RCT 2 6 9/13 Li (2020) 38 Retrospective, cohort 3 39 6 7 8/11 Hanada (2020) 22 Prospective, cohort 4 (.12) 8/11 DeVries (2019) 14 Retrospective, cohort 3 23.56 6 7.6 (49-149) 8/11 Lee (2019) 35 Retrospective, case series 4 28.8 6 4.3 (25-38) 6/10 Li (2019) 37 Retrospective, cohort 3 46 6 21 8/11 Melton (2018) 44 Retrospective, case series 4 (.12) 7/10 Lopes (2018) 39 Prospective, cohort 3 9.6 6 4.3 8/11 Coetzee (2018) 10 Retrospective, case series 4 Median, 11.5 (6-27) 7/10 Russo (2016) 50 Retrospective, case series 4 (120-180) 7/10 Matsui (2016) 42 Retrospective, cohort 3 NR 9/11 Cho (2015) 7 Prospective, case series 4 31.4 (24-39) 8/10 Dierckman (2015) 15 Retrospective, case series 4 38 6 30 (24-107) 9/10 Cho (2015) 6 Prospective, case series 2 31.8 (24-41) 6/10 Petrera (2014) 48 Retrospective, case series 4 42 (24-60) 5/10 Miyamoto (2014) 46 Prospective, cohort 3 24 7/11 Maffulli (2013) 40 Retrospective, case series 4 104.4 6 32.5 (60-156) 7/10 Keklikc xi (2012) 29 Prospective, case series 4 76.1 (60-106) 5/10 Kennedy (2012) 30 Retrospective, case series 4 32 (12-47) 8/10 Kim (2011) 31 Retrospective, case series 4 15.9 (13-25) 5/10 Solakoglu (2003) 53 Retrospective, case series 4 20 (14-23) 6/10 Karlsson (1995) 28 Prospective, RCT 2 (.24) 5/13 a JBI, Joanna Briggs Institute; NR, not reported; RCT, randomized controlled trial.…”

Section: Study Characteristics and Qualitymentioning

confidence: 99%

“…Resuming sports and physical exercise is critical for maintaining health and avoiding morbidity after injury. 56 It has been documented that 73% to 100% of patients returned to sport participation after ankle ligament repair surgery 44,40 ; after anatomic reconstruction surgery, reported rates of return to sport (RTS) ranged from 83% to 93%. 10,15 This heterogeneity might be attributed to a variety of variables, including sex, treatment approach, strength impairments, psychological factors, and other physical alterations indirectly connected to injury and rehabilitation.…”

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confidence: 99%

Return to Sport After Anatomic Lateral Ankle Stabilization Surgery for Chronic Ankle Instability: A Systematic Review and Meta-analysis

et al. 2023

Am J Sports Med

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Background: Chronic lateral ankle instability that develops after ankle sprains has a severe, negative influence on the patient’s lower extremity function. Anatomic repair or reconstruction of the lateral ankle ligament is an effective treatment for people with chronic lateral ankle instability who want to regain their preinjury levels of work and sport. Purpose: To determine the rate of return to sport (RTS) and related factors after anatomic lateral ankle stabilization (ALAS) surgery. Study Design: Systematic review and meta-analysis; Level of evidence, 4. Methods: Electronic databases including Medline, Embase, the Cochrane Library, and EBSCO Rehabilitation & Sports Medicine Source were searched from the earliest feasible entrance until August 2021. Articles reporting the number of patients who returned to sport after ALAS surgery and analyzing the relevant factors were included. The results were combined using proportion meta-analyses. Results: A total of 25 publications were reviewed, with a total of 1384 participants. Results showed that 95% of patients (95% CI, 91%-99%) returned to any sport, 83% (95% CI, 73%-91%) returned to their preinjury level of sport, and 87% (95% CI, 71%-98%) returned to competitive sport after surgery. The mean time to RTS was 12.45 weeks (95% CI, 10.8-14.1 weeks). Each decade of age increased the likelihood of RTS failure by 6%, and increases in body mass index (BMI) of 5 kg/m2 raised the risk of RTS failure by 4%. The rate of RTS was higher in professional and competitive athletes (93%; 95% CI, 73%-100%) than in recreational athletes (83%; 95% CI, 76%-89%). Analysis showed no differences for arthroscopy versus open surgery, repair versus reconstruction, and early versus late weightbearing. Conclusion: In most cases, patients may return to some kind of sport after ALAS surgery, and some patients RTS at their preinjury level. The relative risk of RTS failure increases according to the magnitude of the increase in age and BMI. Elite athletes are more likely to return compared with nonelite athletes.

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Postoperative Outcome of the Modified Broström Procedure in the Active Duty Military Population: A Retrospective Cohort Study

Cited by 7 publications

References 17 publications

Treatment of Chronic Ankle Instability in the Military Population: A Systematic Review

Treatment of Chronic Ankle Instability in the Military Population: A Systematic Review

Examination of Ankle Trauma in United States Military Members: A Scoping Review

Return to Sport After Anatomic Lateral Ankle Stabilization Surgery for Chronic Ankle Instability: A Systematic Review and Meta-analysis

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