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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2019, Number 3

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Acta Ortop Mex 2019; 33 (3)

Chronic lateral ankle instability. Modified technique

Parra-Téllez P, Muñoz-Fernández I, López-Gavito E

Language: Spanish
References: 22
Page: 135-140
PDF size: 228.94 Kb.


ABSTRACT

Introduction: Chronic ankle instability is defined as a clinical condition characterized by the presence of repetitive sprains. It can be functional or mechanical. Objective: The general objective of this study is to determine the results of the technique using the AOFAS scale and radiographs. of Broström-Gould modified with anchors in patients with chronic lateral ankle instability in the INR in a period comprised of 2008-2016. Material and methods: This is a cross-sectional, prospective, descriptive study with INR patients who had the diagnosis of chronic lateral ankle instability managed using the Broström-Gould procedure modified with anchors. Results: 13 were in follow-up, 1 man and 12 women, with an average age of 38 years (± 13), with predominance of the left ankle 7 (54%) over the right 6 (46%). On the AOFAS scale, the pre-surgical average obtained was ± 13.1) compared to the 6-month post-surgery of 73.4 (± 18). Conclusion: The use of anchors combined with the modified Broström-Gould technique with anchors is a simple and effective alternative that allows the replacement or repair of the anterior peroneal and peroneocalcaneal fibular ligaments.


REFERENCES

  1. Ferran NA, Oliva F, Maffulli N. Ankle instability. Sports Med Arthosc Rev. 2009; 17(2): 139-45. doi: 10.1097/JSA.0b013e3181a3d790.

  2. Hanney WJ. Proprioceptive training for ankle instability. Strength and Conditioning Journal. 2000; 22(5): 63-8.

  3. Hubbard TJ, Kaminski TW, Vander RG, Kovaleski JE. Quantitative assessment of mechanical laxity in the functionally unstable ankle. Med Sci Sports Exerc. 2004; 36(5): 760-6.

  4. Hiller CE, Refshauge KM, Herbert RD, Kilbreath SL. Balance and recovery from a perturbation are impaired in people with functional ankle instability. Clin J Sport Med. 2007; 17(4): 269-75.

  5. Mitchell A, Dyson R, Hale T, Abraham C. Biomechanics of ankle instability. Part 2: Postural sway-reaction time relationship. Med Sci Sports Exerc. 2008; 40(8): 1522-28.

  6. Taghavi CE, Soohoo NF. Lateral ankle instability. Current Orthopaedic Practice. 2009; 20(2): 117-22.

  7. Gribble PA, Robinson RH. An examination of ankle, knee and hip torque production in individuals with chronic ankle instability. J Strength Cond Res. 2009; 23(2): 395-400.

  8. Karlsson J, Lansinger O. Chronic lateral instability of the ankle in athletes. Sports Med. 1993; 16(5): 355-65.

  9. Karlsson J, Bergsten T, Lansinger O, Peterson L. Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg. 1998; 70(4): 581-8.

  10. Su EP, Healey JH. Salvage reconstruction for lateral ankle instability using a tendon allograft. Clin Orthop Relat Res. 2003; (415): 232-8.

  11. Coughlin MJ, Schenck RC Jr, Grebing BR, Treme G. Comprehensive reconstruction of the lateral ankle for chronic instability using a free gracilis graft. Foot Ankle Int. 2004; 25(4): 231-41.

  12. Corte-Real NM, Moreira RM. Arthroscopic repair of chronic lateral ankle instability. Foot & Ankle Int. 2009; 30(3): 213-7.

  13. Hawkins RB. Artroscopic stapling repair of the lateral ligaments of the ankle. Clin Podiatr Med Surg. 1987; 4(4): 875-83.

  14. Romero-Cruz JA, Ramírez-Salgado CU, De la Cruz-Honorato E, Acosta RR. Estudio comparativo entre el tratamiento quirúrgico vs conservador en la inestabilidad crónica de tobillo. Acta Ortop Mex. 2003; 17(5): 237-42.

  15. Letts M, Davidson D, Mukhtar I. Surgical management of chronic lateral ankle instability in adolescents. J Pediatr Orthop. 2003; 23(3): 392-7.

  16. Liu SH, Jacobson KE. A new operation for chronic lateral ankle instability. J Bone Joint Surg. 1995; 77(1): 55-9.

  17. Horstman JK, Kantor GS, Samuelson KM. Investigation of lateral ankle ligament reconstruction. Foot Ankle. 1981; 1(6): 338-42.

  18. Baltopoulos P, Tzagarakis GP, Kaseta MA. Midterm results of a modified evans repair for chronic lateral ankle instability. Clin Orthop Rel Res. 2004; 422: 180-5.

  19. 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 Sport Med. 1996; 24(4): 400-4.

  20. Bell SJ, Mologne TS, Sitler DF, Cox JS. Twenty-six year results after Broström procedure for chronic lateral ankle instability. Am J Sports Med. 2006; 34(6): 975-8.

  21. Messer TM, Cummins CA, Ahn J, Kelikian AS. Outcome of the modified Broström procedure for chronic lateral ankle instability using suture anchors. Foot Ankle Int. 2000; 12: 996-1003.

  22. Hintermann B, Boss A, Schäfer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med. 2002; 30(3): 402-7.




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