Surgical treatment of patients with chronic posttraumatic lateral ankle instability using the Brostrom – Gould procedure

Abstract

Aim to evaluate the effectiveness of restoring the lateral ankle ligament complex using local tissues according to the Brostrom Gould technique in patients with different post-traumatic periods.
 Material and methods. In 2021, in total 15 patients with lateral ankle instability underwent clinical and instrumental examination and received surgical treatment for this pathology. The patients were divided into three groups depending on the time passed from the primary injury. Group 1 included patients with a post-traumatic period up to 5 years, Group 2 up to 10 years and Group 3 more than 10 years. The ankle instability was assessed before and after surgery using the AOFAS and Karlsson Peterson scales.
 Results. In Groups 1 and 2, the patients were satisfied with the results of treatment They could restore the intensity of their physical activity to the level they had before the injury. The patients from Group 3 were not content with the results of treatment and reported the remaining pain, swelling, and joint instability.
 Conclusion. With a disease duration of up to 5 years, Brostrom Gould procedure provides excellent results and remains the preferred treatment for lateral ankle instability. This technique can be successfully used in patients with the post-injury period up to 10 years, if their life-style does not imply the regular intensive load on the ankle. If the history of the disease is more than 10 years, the Brostrom Gould procedure is ineffective, in such cases other complex treatment methods should be used.