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Eric Giza, Scott R Whitlow, Brady T Williams, Jorge I Acevedo, Peter G Mangone, C Thomas Haytmanek, Eugene E Curry, Travis Lee Turnbull, Robert F LaPrade, Coen A Wijdicks, Thomas O Clanton
BACKGROUND: Secondary surgical repair of ankle ligaments is often indicated in cases of chronic lateral ankle instability. Recently, arthroscopic Broström techniques have been described, but biomechanical information is limited. The purpose of the present study was to analyze the biomechanical properties of an arthroscopic Broström repair and augmented repair with a proximally placed suture anchor. It was hypothesized that the arthroscopic Broström repairs would compare favorably to open techniques and that augmentation would increase the mean repair strength at time zero...
July 2015: Foot & Ankle International
Jorge I Acevedo, Peter Mangone
UNLABELLED: Surgical strategy regarding chronic lateral ankle instability is undergoing an evolution from traditional open procedures to minimally invasive and arthroscopic techniques. The development of arthroscopic techniques for the ankle mirrors the processes witnessed for the shoulder and knee over the last 30 years. The arthroscopic Brostrom is a novel technique that allows the surgeon to use an arthroscope to perform a lateral ankle ligament reconstruction that was previously thought possible only through open surgical technique...
April 2015: Foot & Ankle International
Justin D Orr, Justin Robbins, Brian R Waterman
Chronic lateral ankle instability is a condition frequently encountered by orthopedic surgeons treating highly active patient populations, particularly military service members. Providers treating military service members must have a high index of suspicion for this condition when signs and symptoms of functional or mechanical instability exist. Stress testing and ankle MRI, although not definitive in sensitivity for detecting instability or other concomitant injuries, should be considered during the treatment decision-making process...
October 2014: Clinics in Sports Medicine
Mark Porter, Bruce Shadbolt, Robert Stuart
BACKGROUND: More than 20% of patients develop chronic instability following appropriate management of an 'ankle sprain'. There is little research comparing surgical techniques. 'Anatomical' procedures, such as the modified Brostrom-Gould (MBG), are generally preferred. However, not all patients are suitable for this procedure. Augmentation of a primary repair using a synthetic ligament, such as the ligament augmentation reconstruction system (LARS), is another 'anatomic' option. Our objective was to compare the clinical outcome following the MBG with that following the LARS technique using a prospective randomized clinical trial...
January 2015: ANZ Journal of Surgery
Bi O Jeong, Myung Seo Kim, Wook Jae Song, Nelson F SooHoo
BACKGROUND: The purpose of this study was to assess the feasibility of inferior extensor retinaculum (IER) reinforcement and analyze differences in clinical and radiographic outcomes based on whether or not IER reinforcement was performed in modified Broström procedures. METHODS: Forty-one patients (41 ankles) who underwent ankle reconstruction with either a Broström procedure or modified Broström with IER reinforcement were included in this prospective study...
November 2014: Foot & Ankle International
Kyung Tai Lee, Eung Soo Kim, Young Ho Kim, Je Seong Ryu, Im Joo Rhyu, Young Koo Lee
PURPOSE: The all-inside arthroscopic modified Broström operation has been developed for lateral ankle instability. We compared the biomechanical parameters of the all-inside arthroscopic procedure to the open modified Broström operation. METHODS: Eleven matched pairs of human cadaver specimens [average age 71.5 (range 58-98) years] were subject to the arthroscopic modified Broström operation using a suture anchor and the open modified Broström operation. The ligaments were loaded cyclically 20 times and then tested to failure...
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Massimo Petrera, Tim Dwyer, John S Theodoropoulos, Darrell J Ogilvie-Harris
BACKGROUND: Anatomic techniques of ankle ligament repair have the advantage of restoring the anatomy and kinematics of the joint. This study presents a technique for anatomic reconstruction of the lateral ligament complex by way of lateral ligament advancement using suture anchors associated with immediate protected full weightbearing; 2- to 5-year clinical outcomes are reported. HYPOTHESIS: This technique of providing an anatomic reconstruction with a secure fixation will enable early rehabilitation with immediate, protected weightbearing, with favorable outcomes...
July 2014: American Journal of Sports Medicine
Nicholas A Viens, Coen A Wijdicks, Kevin J Campbell, Robert F Laprade, Thomas O Clanton
BACKGROUND: The concept of utilizing nonabsorbable suture tape fixed directly to bone to augment Broström repairs of the anterior talofibular ligament (ATFL) has been proposed. No biomechanical studies of this technique are available. HYPOTHESIS: We hypothesized that suture tape augmentation alone and Broström repair with suture tape augmentation would have similar biomechanical properties to the intact ATFL at time zero in a cadaveric model. STUDY DESIGN: Controlled laboratory study...
February 2014: American Journal of Sports Medicine
Byung-Ki Cho, Yong-Min Kim, Dong-Soo Kim, Eui-Sung Choi, Hyun-Chul Shon, Kyoung-Jin Park
The present prospective, randomized study was conducted to compare the clinical outcomes of the modified Brostrom procedure using single and double suture anchors for chronic lateral ankle instability. A total of 50 patients were followed up for more than 2 years after undergoing the modified Brostrom procedure. Of the 50 procedures, 25 each were performed using single and double suture anchors by 1 surgeon. The Karlsson scale had improved significantly to 89.8 points and 90.6 points in the single and double anchor groups, respectively...
January 2013: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Caio Nery, Fernando Raduan, Angelo Del Buono, Inacio Diogo Asaumi, Moises Cohen, Nicola Maffulli
BACKGROUND: Lateral ankle sprains account for 85% of ankle lesions. HYPOTHESIS: Combined open and arthroscopic procedures could improve the diagnosis and management of intra-articular lesions and allow surgeons to perform minimally invasive anatomic reconstruction of the lateral ligament complex. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Forty consecutive patients underwent ankle arthroscopy for recurrent (2 or more episodes) lateral ankle instability unresponsive to nonoperative measures...
November 2011: American Journal of Sports Medicine
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