Neurobionplus
Home About Journal AHEAD OF PRINT Current Issue Back Issues Instructions Submission Search Subscribe Blog    
Login 

Users Online: 425 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
SYMPOSIUM - HINDFOOT AND ANKLE TRAUMA
Year : 2018  |  Volume : 52  |  Issue : 3  |  Page : 315-321

A modified broström repair with transosseous fixation for chronic ankle instability: A midterm followup study in soldiers


1 Department of Biomedical Engineering, National Yang-Ming University; Department of Orthopaedics, School of Medicine, College of Medicine, Taipei Medical University; Department of Orthopaedics, Shuang Ho Hospital, Taipei Medical University, Taiwan
2 Department of Orthopaedics, School of Medicine, College of Medicine, Taipei Medical University; Department of Orthopaedics, Shuang Ho Hospital, Taiwan
3 Department of Orthopedic Surgery, School of Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC
4 Department of Orthopaedics, School of Medicine, College of Medicine, Taipei Medical University, Taiwan
5 Department of Biomedical Engineering, National Yang-Ming University, Taiwan

Correspondence Address:
Prof. Chian-Her Lee
No. 250, Wuxing St., Xinyi Dist., Taipei City 110, Taiwan
Taiwan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ortho.IJOrtho_265_16

Rights and Permissions

Background: Various surgical techniques are available to reduce chronic instability of the lateral ankle ligament complex. The most effective method for these procedures remains controversial. This report presents a surgical technique that is similar to the Broström procedure and uses a modified, nonaugmented repair technique. Materials and Methods: 38 soldiers with a history of chronic lateral ankle instability and poor ankle function underwent plication of the anterior talofibular ligament-lateral capsule complex with transosseous fixation of the calcaneofibular ligament through a fibular bone tunnel between 2004 and 2007. This study included 33 men and 5 women with a mean age of 25.6 years (range 18–36 years) at the time of surgery. Each patient was confirmed to have a history of chronic lateral ankle instability after an inversion injury, and symptoms had been noted for at least 1 year. The patients were followed up with stress radiographs, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot functional score, and the Sefton assessment system. The mean followup period was 77.6 months (range 66-89 months). Results: At the last evaluation, the talar tilt reduced from an average of 13.9° ± 2.4° before surgery to 3.8° ± 1.8° after surgery, and anterior drawer displacement reduced from 9.6 ± 2.9 mm to 2.3 ± 1.6 mm. The mean AOFAS ankle-hindfoot scale score for functional stability increased from 71.6 ± 4.0 points preoperatively to 95.6 ± 4.0 points postoperatively. As evaluated by the Sefton assessment system, 36 patients (95%) reported an excellent or good functional outcome. All patients resumed normal daily activities and active military duty after the surgery. Conclusion: The procedure described here could be considered a viable alternative option to anatomic reconstruction such as the modified Broström procedure and might be appropriate for the general population.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1186    
    Printed23    
    Emailed0    
    PDF Downloaded62    
    Comments [Add]    

Recommend this journal