The Modified Brostrom Procedure for Chronic Lateral Ankle Instability.
- Author:
Ha Heon SONG
1
;
Dae Moo SHIM
;
Byoung Chang LEE
;
Dong Churl KIM
;
Yong Woo CHO
;
Jung Hwan YANG
Author Information
1. Department of Orthopaedic Surgery, Wonkwang University School of Medicine, Wonkwang Medical Science Research Center, Iksan, Korea. h2song@wonkwang.ac.kr
- Publication Type:Original Article
- Keywords:
Modified Brostrom procedure;
Chronic lateral ankle instability
- MeSH:
Ankle*;
Humans;
Ligaments;
Magnetic Resonance Imaging;
Retrospective Studies;
Rupture;
Weights and Measures
- From:Journal of Korean Foot and Ankle Society
2004;8(1):81-85
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study is to evaluate the surgical results of modified Brostrom procedure for chronic lateral ankle instability and to assess whether or not associated injuries may affect postoperative satisfaction. MATERIALS AND METHODS: Twenty-four patients with chronic lateral ankle instability were evaluated retrospectively from August 1998 to March 2002. Average age was 29.3 years. All patients were performed pre & postoperative ankle anteroposterior and lateral view, stress anterior drawer and varus test using Telos device, MRI and intraoperative arthroscopic evaluations before ligament reconstruction. RESULTS: Of the 24 cases, 23 cases was improved more than average 12 points on AOFAS scales. On modified scales of Hamilton, 3 excellent, 20 good, 1 fair results. On stress view, average 2.2 mm difference was improved on anterior drawer test and average 1.7 degree on varus test. Associated injuries were 8 osteochondral defects, 4 anterior impingements, 2 loose bodies, 2 os subfibulare, 2 os submalleolare and 2 partial ruptures of peroneus brevis. 8 cases with no associated injuries rated excellent or good. CONCLUSION: The modified Brostrom procedure is believed to be an effective and successful method for chronic lateral ankle instability that didn't respond to conservative treatment. Because associated injuries in chronic lateral ankle instability may affect postoperative satisfaction, appropriate detection and treatment may need for postoperative satisfaction.
