Comparison of Results obtained from the Modified Brostrom and the Chrisman-Snook Procedures for Chronic Lateral Ankle Instability.
- Author:
Yong Wook PARK
1
;
In Heon PARK
;
Jung Han YOO
;
Hong Jun PARK
;
Sun O YU
;
Gab Lae KIM
Author Information
1. Department of Orthopedic Surgery, College of Medicine Hallym University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Ankle;
Chronic lateral instability;
Modified Brostrom procedure;
Chrisman-Snook procedure
- MeSH:
Ankle*;
Follow-Up Studies;
Humans;
Neuralgia;
Wound Healing
- From:The Journal of the Korean Orthopaedic Association
2001;36(5):403-408
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare results of the modified Brostrom procedure and the Chrisman-Snook procedure for chronic lateral ankle instability. MATERIALS AND METHODS: Twenty-eight patients (30 ankles) who underwent 20 modified Brostrom procedures or 10 Chrisman-Snook procedures were available. Follow-up averaged 3.2 years (1.3-5.4 years). Clinical results were graded according to the AOFAS clinical rating system. The talar tilting angle was also measured. RESULTS: Clinical results were rated as excellent in 15, good in 4, and fair in 1 ankle after the modified Brostrom procedure, and excellent in 7, and good in 3 ankles after the Chrisman-Snook procedure. Three complications occurred after the Chrisman-Snook procedure; delayed wound healing in 1 ankle, and transient neuralgia in 2. Mean talar tilting angle was improved from 17.4+/-6.6degrees to 6.6+/-1.2degrees by the modified Brostrom procedure, and from 15.6+/-5.9degrees to 3.0+/-1.1degrees by the Chrisman-Snook procedure. CONCLUSION: Significant differences were found in the clinical results obtained using the two procedures, and good function was obtained in a high percentage of patients. The procedure of choice should be decided upon based on the patient's condition and the doctor's preference.