2018, Number 2
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Acta Ortop Mex 2018; 32 (2)
Clinical and functional results of the Broström-Gould technique for lateral ankle instability: evaluation with three scales
Gómez-Carlín LA, Ramírez-Gómez VJ, Torres-Ortega AE, Contreras-Navarro AM, Ortega-Orozco R
Language: Spanish
References: 19
Page: 93-97
PDF size: 200.20 Kb.
ABSTRACT
Background: The most frequent sequel to the ankle sprain is the instability of the lateral ligament complex; the results of surgical treatment have not been evaluated with multiple scales simultaneously. The objective of the study was to assess the clinical and functional results with three scales in patients with lateral instability of ankle undergoing Broström-Gould technique, using for fixation, anchors with suture to distal fibula.
Material and methods: The design of the study was cross-sectional and descriptive; we included patients with lateral instability of ankle and partial or complete rupture of the APA or CP ligament subject to repair with Broström-Gould technique. Magnetic resonance imaging was performed to confirm the diagnosis; clinical and functional outcomes were determined with three scales: EVA, SF-36 and AOFAS. Patients were evaluated at six months, or more, after the surgical procedure.
Results: We included 13 patients; quality of life (SF-36 questionnaire) showed a good result with average score of 90; 10 (77%) patients showed excellent results in function, absence of pain and alignment of the ankle (AOFAS 90-100). Also found significant improvement in pain (presurgical EVA: 6, compared with 1 in the postoperative period).
Conclusions: The surgical procedure showed excellent results, in the short term with resolution of pain and ankle stability.
REFERENCES
DiGiovanni BF, Partal G, Baumhauer JF. Acute ankle injury and chronic lateral instability in the athlete. Clin Sports Med. 2004; 23(1): 1-19, v.
Guía de práctica clínica diagnóstico y manejo del esguince de tobillo en la fase aguda para el primer nivel de atención. México: Secretaría de Salud; 2013.
Kannus P, Renström P. Treatment for acute tears of the lateral ligaments of the ankle. Operation, cast, or early controlled mobilization. J Bone Joint Surg Am. 1991; 73(2): 305-12.
Lamb SE, Marsh JL, Hutton JL, Nakash R, Cooke MW. Collaborative Ankle Support Trial (CAST Group). Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. Lancet. 2009; 373(9663): 575-81.
Alonso J, Prieto L, Antó JM. The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): an instrument for measuring clinical results. Med Clin (Barc). 1995; 104(20): 771-6.
Kemler E, van de Port I, Backx F, van Dijk CN. A systematic review on the treatment of acute ankle sprain: brace versus other functional treatment types. Sports Med. 2011; 41(3): 185-97.
Shahrulazua A, Ariff Sukimin MS, Tengku Muzaffar TM, Yusof MI. Early functional outcome of a modified Brostrom-Gould surgery using bioabsorbable suture anchor for chronic lateral ankle instability. Singapore Med J. 2010; 51(3): 235-41.
McCriskin BJ, Cameron KL, Orr JD, Waterman BR. Management and prevention of acute and chronic lateral ankle instability in athletic patient populations. World J Orthop. 2015; 6(2): 161-71.
Krips R, van Dijk CN, Halasi T, Lehtonen H, Moyen B, Lanzetta A, et al. Anatomical reconstruction versus tenodesis for the treatment of chronic anterolateral instability of the ankle joint: a 2- to 10-year follow-up, multicenter study. Knee Surg Sports Traumatol Arthrosc. 2000; 8(3): 173-9.
Krips R, van Dijk CN, Halasi PT, Lehtonen H, Corradini C, Moyen B, et al. Long-term outcome of anatomical reconstruction versus tenodesis for the treatment of chronic anterolateral instability of the ankle joint: a multicenter study. Foot Ankle Int. 2001; 22(5): 415-21.
de Vries JS, Krips R, Sierevelt IN, Blankevoort L, van Dijk CN. Interventions for treating chronic ankle instability. Cochrane Database Syst Rev. 2011; (8): CD004124.
Bahr R, Pena F, Shine J, Lew WD, Tyrdal S, Engebretsen L. Biomechanics of ankle ligament reconstruction. An in vitro comparison of the Broström repair, Watson-Jones reconstruction, and a new anatomic reconstruction technique. Am J Sports Med. 1997; 25(4): 424-32.
Korkala O, Tanskanen P, Mäkijärvi J, Sorvali T, Ylikoski M, Haapala J. Long-term results of the Evans procedure for lateral instability of the ankle. J Bone Joint Surg Br. 1991; 73(1): 96-9.
Korkala O, Sorvali T, Niskanen R, Haapala J, Tanskanen P, Kuokkanen H. Twenty-year results of the Evans operation for lateral instability of the ankle. Clin Orthop Relat Res. 2002; (405): 195-8.
Hennrikus WL, Mapes RC, Lyons PM, Lapoint JM. Outcomes of the Chrisman-Snook and modified-Broström procedures for chronic lateral ankle instability. A prospective, randomized comparison. Am J Sports Med. 1996; 24(4): 400-4.
Hubbard TJ. Ligament laxity following inversion injury with and without chronic ankle instability. Foot Ankle Int. 2008; 29(3): 305-11.
Karlsson J, Bergsten T, Lansinger O, Peterson L. Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg Am. 1988; 70(4): 581-8.
Buerer Y, Winkler M, Burn A, Chopra S, Crevoisier X. Evaluation of a modified Broström-Gould procedure for treatment of chronic lateral ankle instability: A retrospective study with critical analysis of outcome scoring. Foot Ankle Surg. 2013; 19(1): 36-41.
Brodsky AR, O’Malley MJ, Bohne WH, Deland JA, Kennedy JG. An analysis of outcome measures following the Broström-Gould procedure for chronic lateral ankle instability. Foot Ankle Int. 2005; 26(10): 816-9.