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Brostrom procedure

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https://www.readbyqxmd.com/read/28860398/revision-anatomical-reconstruction-of-the-lateral-ligaments-of-the-ankle-augmented-with-suture-tape-for-patients-with-a-failed-brostr%C3%A3-m-procedure
#1
B K Cho, Y M Kim, S M Choi, H W Park, N F SooHoo
AIMS: The aim of this prospective study was to evaluate the intermediate-term outcomes after revision anatomical ankle ligament reconstruction augmented with suture tape for a failed modified Broström procedure. PATIENTS AND METHODS: A total of 30 patients with persistent instability of the ankle after a Broström procedure underwent revision augmented with suture tape. Of these, 24 patients who were followed up for more than two years were included in the study...
September 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28836446/modified-brostr%C3%A3-m-procedure-using-distal-fibular-periosteal-flap-augmentation-vs-anatomic-reconstruction-using-a-free-tendon-allograft-in-patients-who-are-not-candidates-for-standard-repair
#2
Hong Joon Choi, Dae Wook Kim, Jea Seok Park
BACKGROUND: The modified Broström procedure (MBP) is widely accepted as the primary operative treatment for chronic lateral ankle instability (CLAI). However, the MBP does not produce good clinical results in all patients, and anatomic reconstruction using a free tendon graft may be considered in those patients. The purpose of this study was to evaluate the efficacy of the MBP using distal fibular periosteal flap augmentation for CLAI in patients who were not candidates for standard repair...
August 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28710509/x-shaped-inferior-extensor-retinaculum-and-its-doubtful-use-in-the-br%C3%A3-strom-gould-procedure
#3
M Dalmau-Pastor, F Malagelada, G M M J Kerkhoffs, M C Manzanares, J Vega
PURPOSE: The inferior extensor retinaculum (IER) is an aponeurotic structure located in the anterior aspect of the ankle. According to the literature, it can be used to reinforce a repair of the anterior talofibular ligament in ankle instability. Despite its usual description as an Y-shaped structure, it is still unclear which part of the retinaculum is used for this purpose, or if it is instead the crural fascia that is being used. The purpose of this study is to define the anatomical characteristics of the IER to better understand its role in the Broström-Gould procedure...
July 14, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28645550/intermediate-to-long-term-longevity-and-incidence-of-revision-of-the-modified-brostr%C3%A3-m-gould-procedure-for-lateral-ankle-ligament-repair-a-systematic-review
#4
REVIEW
Eric So, Nathaniel Preston, Timothy Holmes
The Broström-Gould procedure is an effective procedure for chronic lateral ankle instability. However, long-term studies are limited, and the durability of this procedure remains unclear. A systematic review of the published data was undertaken to determine the outcomes and incidence of revision after long-term follow-up. Eleven studies involving 669 Broström-Gould procedures met the inclusion criteria. The revision rate was 1.2% at a weighted mean follow-up period of 8.4 years. Our systematic review of the available data revealed that the Broström-Gould procedure results in low revision rates for chronic lateral ankle instability...
September 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28394631/activity-level-and-function-2-years-after-anterior-talofibular-ligament-repair-a-comparison-between-arthroscopic-repair-and-open-repair-procedures
#5
Hong Li, Yinghui Hua, Hongyun Li, Kui Ma, Shengkun Li, Shiyi Chen
BACKGROUND: The open modified Broström anatomic repair technique is widely accepted as the reference standard for lateral ankle stabilization. Despite recent increases in publications regarding arthroscopic repair of the anterior talofibular ligament (ATFL) for treatment of chronic ankle instability, research is lacking that compares the functional outcomes between arthroscopic repair and open repair procedures for chronic ankle instability. PURPOSE: To compare function and activity level after arthroscopic repair versus open repair of the ATFL in patients with lateral ankle instability...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28367693/outcomes-of-the-modified-brostr%C3%A3-m-procedure-augmented-with-suture-tape-for-ankle-instability-in-patients-with-generalized-ligamentous-laxity
#6
Byung-Ki Cho, Kyoung-Jin Park, Ji-Kang Park, Nelson F SooHoo
BACKGROUND: Although recent biomechanical studies have reported mechanical superiority of augmented anterior talofibular ligament reconstruction using suture-tape, clinical evidence regarding the efficacy of suture-tape augmentation is still insufficient. This prospective study was performed to evaluate the outcomes of the modified Broström procedure augmented with suture-tape for chronic ankle instability with generalized ligamentous laxity, which has been known to be a poor prognostic factor for anatomic ligament repair...
April 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28110390/operative-treatment-of-lateral-ligament-instability
#7
REVIEW
Rachel J Shakked, Sydney Karnovsky, Mark C Drakos
PURPOSE OF REVIEW: Ankle sprains, which account for 40% of sports injuries in the USA, can lead to chronic ankle instability. Chronic ankle instability can be classified as functional, mechanical, or a combination of both and is diagnosed using a combination of a physical exam, an MRI, and stress radiographs. This review focuses on different approaches to treatment, including non-operative and operative techniques, of chronic ankle instability, including reviewing traditional procedures as well as more novel and newer techniques...
March 2017: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/28089126/the-all-inside-arthroscopic-brostr%C3%A3-m-procedure-augmented-with-a-proximal-suture-anchor-an-innovative-technique
#8
James M Cottom, Phillip E Richardson
Arthroscopic treatments of chronic lateral ankle stability have been reported in the literature. The authors report on an innovative technique augmenting the "All- Inside" Arthroscopic Broström procedure with an additional suture anchor.
March 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27989342/comparison-of-suture-based-anchors-and-traditional-bioabsorbable-anchors-in-foot-and-ankle-surgery
#9
COMPARATIVE STUDY
W Chad Hembree, Michael A Tsai, Brent G Parks, Stuart D Miller
We compared the pullout strength of a suture-based anchor versus a bioabsorbable anchor in the distal fibula and calcaneus and evaluated the relationship between bone mineral density and peak load to failure. Eight paired cadaveric specimens underwent a modified Broström procedure and Achilles tendon reattachment. The fibula and calcaneus in the paired specimens received either a suture-based anchor or a bioabsorbable suture anchor. The fibular and calcaneal specimens were loaded to failure, defined as a substantial decrease in the applied load or pullout from the bone...
January 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27923217/effect-of-direct-ligament-repair-and-tenodesis-reconstruction-on-simulated-subtalar-joint-instability
#10
Julie Choisne, Matthew C Hoch, Ian Alexander, Stacie I Ringleb
BACKGROUND: Subtalar instability is associated with up to 80% of patients presenting with chronic ankle instability but is often not considered in the diagnosis or treatment. Operative procedures to repair ankle instability have shown good clinical results, but the effects of these reconstruction procedures on isolated subtalar instability are not well understood. The goal of this study was to investigate the effect of the Gould modification of the Broström procedure and a new tenodesis reconstruction procedure on ankle and subtalar joint kinematics after simulating a subtalar injury...
March 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/27709036/modified-arthroscopic-brostrom-procedure-with-bone-tunnels
#11
Tun Hing Lui
The open anatomic repair of the anterior talofibular and calcaneofibular ligaments (modified Brostrom procedure) is widely accepted as the standard surgical stabilization procedure for lateral ankle instability that does not respond to conservative measures. Arthroscopic Brostrom procedures with a suture anchor have been reported to achieve both anatomic repair of the lateral ankle ligaments and management of the associated intra-articular lesions. However, the complication rates are higher than open Brostom procedures...
August 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27638269/the-all-inside-arthroscopic-brostr%C3%A3-m-procedure-with-additional-suture-anchor-augmentation-a-prospective-study-of-45-consecutive-patients
#12
James M Cottom, Joseph S Baker, Phillip E Richardson
Lateral ankle sprains are a common injury that typically respond well to nonoperative therapy. When nonoperative therapy fails and patients develop chronic lateral ankle instability, they become candidates for surgical repair. The present study examined 45 consecutive patients (45 ankles) with chronic lateral ankle instability who underwent arthroscopic Broström repair using a double-row suture anchor construct. The 45 patients (27 females and 18 males) were followed up for a mean of 14 (range 12 to 20) months...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27623732/comparison-of-all-inside-arthroscopic-and-open-techniques-for-the-modified-brostr%C3%A3-m-procedure-for-ankle-instability
#13
RANDOMIZED CONTROLLED TRIAL
Eui Dong Yeo, Kyung-Tai Lee, Il-Hoon Sung, Sun Geun Lee, Young Koo Lee
BACKGROUND: No reported study has compared clinical and radiologic outcomes between an all-inside arthroscopic modified Broström operation (MBO) and an open MBO. The purpose of this study was to compare clinical and radiologic outcomes of all-inside arthroscopic and open MBOs. METHODS: From August 2012 to July 2014, 48 patients were included. They were divided into 2 groups: all-inside arthroscopic MBO (25 patients) and open MBO (23 patients). The American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, visual analog scale (VAS) score, and Karlsson score were used to evaluate clinical outcomes...
October 2016: Foot & Ankle International
https://www.readbyqxmd.com/read/27614823/a-biomechanical-comparison-of-3-different-arthroscopic-lateral-ankle-stabilization-techniques-in-36-cadaveric-ankles
#14
COMPARATIVE STUDY
James M Cottom, Joseph S Baker, Phillip E Richardson, Jared M Maker
Arthroscopic lateral ankle stabilization has become an increasingly popular option among foot and ankle surgeons to address lateral ankle instability, because it combines a modified Broström-Gould procedure with the ability to address any intra-articular pathologic findings at the same session. The present study evaluated 3 different constructs in a cadaveric model. Thirty-six fresh frozen cadaver limbs were used, and the anterior talofibular ligament was identified and sectioned. The specimens were then placed into 1 of 3 groups...
November 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27602349/treatment-of-chronic-lateral-ankle-instability-using-the-brostr%C3%A3-m-gould-procedure-in-athletes-long-term-results
#15
Adriano Russo, Paolo Giacchè, Enrico Marcantoni, Annalisa Arrighi, Luigi Molfetta
PURPOSE: this study was conducted to evaluate long-term results following treatment of chronic lateral ankle instability using the Broström-Gould technique in athletes. METHODS: eighteen athletes involved in competitive sports at different levels, who suffered from chronic lateral ankle instability, underwent Broström-Gould ligamentoplasty between 2000 and 2005. The results of the surgery were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) scale...
April 2016: Joints
https://www.readbyqxmd.com/read/27528610/comparison-of-the-modified-brostr%C3%A3-m-procedure-for-chronic-lateral-ankle-instability-with-and-without-subfibular-ossicle
#16
Hyeon-Wook Ahn, Keun-Bae Lee
BACKGROUND: Subfibular ossicles are frequently found in patients with chronic lateral ankle instability (CLAI). However, there is a lack of consensus about the optimal surgical treatment for CLAI with subfibular ossicle. PURPOSE: To evaluate the clinical and radiographic outcomes of the modified Broström procedure with subfibular ossicle excision compared with the same procedure for CLAI without subfibular ossicle. STUDY DESIGN: Cohort study; Level of evidence, 3...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27496909/modified-brostr%C3%A3-m-procedure-for-chronic-lateral-ankle-instability-in-patients-with-generalized-joint-laxity
#17
He-Xing Xu, Keun-Bae Lee
BACKGROUND: Generalized joint laxity (GJL) has been considered a risk factor for late failure of ligament reconstruction in the knee; however, it is not known whether GJL is the cause of recurrent instability after the modified Broström procedure for chronic lateral ankle instability. PURPOSE: To compare the clinical results of the modified Broström procedure for chronic lateral ankle instability in patients with or without GJL. STUDY DESIGN: Cohort study; Level of evidence, 3...
December 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27316852/atypical-chronic-ankle-instability-in-a-pediatric-population-secondary-to-distal-fibula-avulsion-fracture-nonunion
#18
REVIEW
Saad R El Ashry, Tarek A El Gamal, Simon R Platt
Chronic ankle instability is a disabling condition, often occurring as a result of traumatic ankle injury. A paucity of published data is available documenting chronic ankle instability in the pediatric population. Much of the data has been confined to the adult population. We present 2 cases of chronic ankle instability, 1 in a 12-year-old and 1 in a 9-year-old patient. Unlike the typical adult etiology, the cause of instability was a dysfunctional lateral ligamentous complex as a consequence of bony avulsion of the tip of the fibula...
January 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27023098/anatomy-of-the-inferior-extensor-retinaculum-and-its-role-in-lateral-ankle-ligament-reconstruction-a-pictorial-essay
#19
M Dalmau-Pastor, Y Yasui, J D Calder, J Karlsson, G M M J Kerkhoffs, J G Kennedy
The inferior extensor retinaculum (IER) is an aponeurotic structure, which is in continuation with the anterior part of the sural fascia. The IER has often been used to augment the reconstruction of the lateral ankle ligaments, for instance in the Broström-Gould procedure, with good outcomes reported. However, its anatomy has not been described in detail and only a few studies are available on this structure. The presence of a non-constant oblique supero-lateral band appears to be important. This structure defines whether the augmentation of the lateral ankle ligaments reconstruction is performed using true IER or only the anterior part of the sural fascia...
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/26878851/biomechanical-stability-of-tape-augmentation-for-anterior-talofibular-ligament-atfl-repair-compared-to-the-native-atfl
#20
COMPARATIVE STUDY
M Willegger, E Benca, L Hirtler, K Hradecky, J Holinka, R Windhager, R Schuh
PURPOSE: Current methods of anterior talofibular ligament (ATFL) reconstruction fail to restore the stability of the native ATFL. Therefore, augmented anatomic ATFL reconstruction gained popularity in patients with attenuated tissue and additional stress on the lateral ankle ligament complex. The aim of the present study was to evaluate the biomechanical stability of the InternalBrace (Arthrex Inc., Naples, FL, USA), a tape augmentation designed to augment the traditional Broström procedure...
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
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