Clinical observation of the modified Broström procedure augmented with suture-tape repair of anterior talofibular ligament injury using mini-open incision

doi:10.11958/20221841

Abstract

Abstract:

Objective To explore the surgical treatment of the modified Broström procedure augmented with suture-tape repair of anterior talofibular ligament using mini-open incision. Methods A tatal of 17 patients with chronic lateral ankle instability underwent the modified Broström procedure augmented with suture-tape reconstruction of anterior talofibular ligament using mini-open incision. The patients included 11 males and 6 females, aged 28-56 years with a mean of (40.20±13.75) years. Body mass index (BMI) was 30.12-35.10 kg/m² with a mean of (32.27±1.83) kg/m². The FAOS and FAAM were used to evaluate the postoperative function of ankle. Results All patients had operation performed smoothly, without serious complications, and got incisions healed well. All 17 patients were followed up for 12-24 months. Compared with those preoperative, the FAOS (from 57.10±11.32 to 91.35±1.27, P<0.05) and FAAM (from 55.76±10.12 to 91.10±0.69, P<0.05) scores significantly improved at the latest follow-up and no complications, such as nerve, blood vessel and tendon injury. Two patients experienced tightness in the lateral ankle during early walking, and the symptoms were resolved after 8 weeks. Conclusion For the chronic lateral ankle instability, the modified Broström procedure augmented with suture-tape repair of anterior talofibular ligament using mini-open incision effectively reduces symptoms and get early rehabilitation, with definite effect.

Key words: ankle joint, anterior talofibular ligament injury, modified Broström procedure, artificial ligament

CLC Number:

R684.77

Figures/Tables 1

References 19

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