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https://www.readbyqxmd.com/read/28110390/operative-treatment-of-lateral-ligament-instability
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/26786901/modified-brostr%C3%A3-m-procedure-for-chronic-ankle-instability-with-generalized-joint-hypermobility
#15
Bingzhe Huang, Yong Tae Kim, Jung Uk Kim, Jung Hoon Shin, Yong Wook Park, Hyong Nyun Kim
BACKGROUND: Chronic ankle instability with generalized joint hypermobility (GJH) is considered a contraindication for the modified Broström procedure. The most widely accepted definition of GJH is a Beighton score of ≥4 on a 9-point scale. However, it is not clear whether this criterion can be applied to determine the GJH that would lead to a poor outcome after a modified Broström procedure. Some of the previous studies that report unfavorable outcomes do not specify the tests or cutoff scores used to determine the GJH, and, in fact, some of the patients with GJH in these studies had good outcomes...
April 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/26772655/patients-experiences-and-actions-when-describing-pain-after-surgery-a-critical-incident-technique-analysis
#16
Kerstin Eriksson, Lotta Wikström, Bengt Fridlund, Kristofer Årestedt, Anders Broström
BACKGROUND: Postoperative pain assessment remains a significant problem in clinical care despite patients wanting to describe their pain and be treated as unique individuals. Deeper knowledge about variations in patients' experiences and actions could help healthcare professionals to improve pain management and could increase patients' participation in pain assessments. OBJECTIVE: The aim of this study was, through an examination of critical incidents, to describe patients' experiences and actions when needing to describe pain after surgery...
April 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/26650580/efficacy-of-the-modified-brostr%C3%A3-m-procedure-for-adolescent-patients-with-chronic-lateral-ankle-instability
#17
Mininder S Kocher, Peter D Fabricant, Adam Y Nasreddine, Nicole Stenquist, Dennis E Kramer, Jared T Lee
BACKGROUND AND PURPOSE: Lateral ankle sprains are very common, representing up to 30% of sports-related injuries. The anterior talofibular ligament (ATFL) and less commonly the calcaneofibular ligament (CFL) are injured. Surgical treatment is reserved for injuries that fail nonoperative treatment with recurrent instability. Anatomic repair using the modified Broström technique has been shown to have good clinical outcomes in the adult population. The purpose of this study was to report on the outcomes of the modified Broström technique in the pediatric and adolescent population (under 18 y old) for chronic lateral ankle instability...
December 8, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26644031/varus-deformity-of-the-distal-tibia-from-physeal-growth-arrest-treated-using-a-titanium-metal-porous-wedge
#18
Andrew B Bridgforth, M Tyrrell Burrus, Joseph S Park
UNLABELLED: During a cheerleading event, a 14-year-old female sustained a right ankle physeal fracture that was treated nonoperatively with casting. She developed a distal medial tibial physeal arrest, and as the onset of menses was at age 16, she subsequently developed a varus distal tibial deformity. At the age of 19, she was no longer able to participate in collegiate cheerleading due to lateral ankle pain, ankle instability, and peroneal subluxation. After failing conservative treatment, she underwent an ankle arthroscopy, Broström-Gould procedure, peroneal retinacular repair with peroneal tenolysis, and a distal tibial medial opening wedge osteotomy using a porous titanium metal wedge and a one-third tubular plate...
October 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/26459363/intermediate-and-long-term-outcomes-of-the-modified-brostrom-evans-procedure-for-lateral-ankle-ligament-reconstruction
#19
Andrew R Hsu, G Troy Ardoin, W Hodges Davis, Robert B Anderson
UNLABELLED: Background This case series evaluated the clinical and functional outcomes of patients with lateral ankle instability treated with a primary modified Brostrom-Evans.Methods Nineteen patients who underwent the modified Brostrom-Evans procedure for lateral ankle instability with a minimum follow-up of 5 years were reviewed. Physical exams were performed and weight-bearing ankle radiographs taken at final follow-up. Clinical outcomes were evaluated using Short Form Health Survey (SF-36), Foot Function Index (FFI), and Visual Analog Scale (VAS) scores...
April 2016: Foot & Ankle Specialist
https://www.readbyqxmd.com/read/26433870/effect-of-preoperative-stress-radiographic-findings-on-radiographic-and-clinical-outcomes-of-the-modified-brostr%C3%A3-m-procedure-for-chronic-ankle-instability
#20
Bi O Jeong, Tae Yong Kim, Wook Jae Song
The purpose of the present study is to evaluate whether findings of instability on preoperative stress radiographs of patients with chronic ankle instability affects the radiographic and clinical outcomes after a modified Broström procedure. A total of 45 consecutive patients (45 ankles) who had undergone the modified Broström procedure for unilateral ankle joint instability and were followed up for ≥2 years were selected. The patients were classified into 2 groups according to the results of the preoperative stress radiographs: 1 group with positive findings (35 [77...
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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