Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지

Treatment of Chronic Ankle Lateral Instability using Modified Br$\ddot{o}$strom Procedure with Anchor suture & Arthroscopy

봉합 나사를 이용한 변형 Br$\ddot{o}$strom 술식 및 관절경 검사를 이용한 족관절 외측 불안정성의 치료

  • Lee, Jin-Young (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Gab-Lae (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Eun-Soo (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Park, Hyun-Jin (Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine)
  • 이진영 (한림대학교 강동성심병원 정형외과학교실) ;
  • 김갑래 (한림대학교 강동성심병원 정형외과학교실) ;
  • 이은수 (한림대학교 강동성심병원 정형외과학교실) ;
  • 박현진 (한림대학교 강동성심병원 정형외과학교실)
  • Published : 2009.12.15
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: To evaluate the result of modified Br$\ddot{o}$strom procedure with anchor suture and explore associate lesion under arthroscopy for chronic lateral instability. Materials and Methods: From May 2005 to March 2009, Retrospective analysis of 126 patients with chronic lateral instability who underwent modified Br$\ddot{o}$strom procedure with anchor suture and arthroscopic procedure was done. Mean follow-up period was 13 months. Results: Chronic lateral instability of the ankle almost had local synovitis by arthroscopic examination. There were osteochondral lesion of talus on the anteromedial aspect in 63 cases, on the anterolateral aspect in 25 cases, osteochondral lesion of tibia side in 8 cases, fat hypertrophy of tibiofibular space in 120 cases, anterior fat impingement in 26 cases, intra-articular loose body in 13 cases. Mean Karlsson scoring scale was improve from 53 preoperatively to 91 postoperatively, There were 70 cases excellent, 27 cases good, 26 cases fair, 3 cases poor result according to the Sefton procedure. Conclusion: Modified Br$\ddot{o}$strom procedure with anchor suture and arthroscopic procedure are reliable treatment method for chronic ankle lateral instability which has intraarticular pathology.

Keywords

References

  1. Bahr R, Pena F, Shine J, Lew WD, Tyrdal S and 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, 25: 424-432, 1997. https://doi.org/10.1177/036354659702500402
  2. Brostrom L: Sprained ankles. VI. Surgical treatment of “chronic” ligament ruptures. Acta Chir Scand. 132: 551-565, 1966.
  3. Chandnani VP, Harper MT, Ficke JR, et al: Chronic ankle instability : evaluation with MR arthrography, MR imaging, and stress radiography. Radiology, 192: 189-194, 1994.
  4. Davis MW: Bilateral talar osteochondritis dissecans with lax ankle ligaments. Report of a case. J Bone Joint Surg Am, 52: 168-170, 1970.
  5. DiGiovanni BF, Fraga CJ, Cohen BE and Shereff MJ: Associated injuries found in chronic lateral ankle instability. Foot Ankle Int, 21: 809-815, 2000.
  6. Ferkel RD, Chams RN: Chronic lateral instability: arhroscopic findings and long-term results. Foot Ankle Int, 28: 24-31, 2007. https://doi.org/10.3113/FAI.2007.0005
  7. Gerber JP, Williams GN, Scoville CR, Arciero RA and Taylor DC: Persistent disability associated with ankle sprains: A prospective examination of an athletic population. Foot Ankle Int, 19: 653-660, 1998. https://doi.org/10.1177/107110079801901002
  8. Hamilton WG, Thompson FM and Snow WS: The modified Brostrom procedure for lateral ankle instability. Foot Ankle, 14: 1-7, 1993. https://doi.org/10.1177/107110079301400101
  9. Karlsson J, Bergsten T, Lansinger O and Peterson L: Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg, 70-A: 581-588, 1988.
  10. Kibler WB: Arthroscopic findings in ankle ligament reconstruction. Clin Sports Med, 15: 799-804, 1996.
  11. Komenda GA and Ferkel RD: Arthroscopic findings associated with the unstable ankle joint. Foot Ankle Int, 20: 708-713, 1999. https://doi.org/10.1177/107110079902001106
  12. Lee KT, Sung IC and Yang KW: The modified Bröstrom procedure for chronic ankle lateral instability without associated injury. J Korean Soc Foot Surg, 6: 167-171, 2002.
  13. Scranton PE Jr, McDermott JE and Rogers JV: The relationship between chronic ankle instability and variations in mortise anatomy and impingement spurs. Foot Ankle Int, 21: 657-664, 2000.
  14. Sefton GK, George J, Fitton JM and McMullen H: Recontruction of the anteior talofibular ligament for treatment of the unstable ankle. J Bone Joint Surg Br, 61: 352-354, 1979.