Top

Archives of Orthopaedic and Trauma Surgery

Published in:

01-01-2016 | Arthroscopy and Sports Medicine

Early recovery after arthroscopic repair compared to open repair of the anterior talofibular ligament for lateral instability of the ankle

Authors: Kentaro Matsui, Masato Takao, Wataru Miyamoto, Takashi Matsushita

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 1/2016

Abstract

Introduction

To compare the early result between arthroscopic and traditional open repair of the anterior talofibular ligament (ATFL) with inferior extensor retinaculum (IER) reinforcement for lateral instability of the ankle (LIA).

Materials and methods

We retrospectively reviewed cases that had been surgically treated for LIA and compared two treatment groups: those treated with an open procedure (Group O) vs those treated with an arthroscopic procedure (Group A). The parameters compared between the groups were visual analog scale (VAS) score at 3 days and 2 weeks after surgery, duration of surgery, time to return to daily activities and sports activities, postoperative complications, recurrence of the instability, and Japanese Society for Surgery of the foot ankle-hindfoot (JSSF) scale score before and at 1 year after surgery.

Results

Significant differences were seen in the mean duration of surgery, mean VAS score at 3 days, and mean time to return to daily activities between the groups. Two patients had temporary numbness in Group A, while 3 patients had wound irritation and 1 patient had temporary numbness in Group O. Ankle instability did not recur in either group. There was no significant difference in either preoperative or postoperative JSSF scale score between the groups.

Conclusions

Compared with the open procedure, arthroscopic ATFL repair with IER reinforcement for LIA had an equivalent clinical result at the 1-year follow-up and allowed early recovery after surgery.

Level of evidence

III.

Takao M, Miyamoto W, Matsui K, Sasahara J, Matsushita T (2012) Functional treatment after surgical repair for acute lateral ligament disruption of the ankle in athletes. Am J Sports Med 40(2):447–451PubMedCrossRef

Guillo S, Bauer T, Lee JW, Takao M, Kong SW, Stone JW, Mangone PG, Molloy A, Perera A, Pearce CJ, Michels F, Tourné Y, Ghorbani A, Calder J (2013) Consensus in chronic ankle instability: aetiology, assessment, surgical indications and place for arthroscopy. Orthop Traumatol Surg Res 99(8 Suppl):S411–S419PubMedCrossRef

Sprainedankles Broström L (1966) VI: surgical treatment of “chronic” ligament ruptures. Acta Chir Scand 243:551–565

Gould N, Seligson D, Gassman J (1980) Early and late repair of the lateral ligaments of the ankle. Foot Ankle 1:84–89PubMedCrossRef

Ferkel RD, Chams RN (2007) Chronic lateral instability: arthroscopic findings and long-term results. Foot Ankle Int 28(1):24–31PubMedCrossRef

Acevedo JI, Mangone PG (2011) Arthroscopic lateral ankle ligament reconstruction. Tech Foot Ankle Surg 10:111–116CrossRef

Corte-Real NM, Moreira RM (2009) Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int 30:213–217PubMedCrossRef

Cotton JM, Rigby RB (2013) The “all inside” arthroscopic Broström procedure: a prospective study of 40 consecutive patients. J Foot Ankle Surg 52:568–574CrossRef

Giza E, Shin EC, Wong SE, Acevedo JI, Mangone PG, Olson K, Anderson MJ (2013) Arthroscopic suture anchor repair of the lateral ligament complex: a cadaver study. Am J Sports Med 41:2567–2572PubMedCrossRef

10.

Kim ES, Lee KT, Park JS, Lee YK (2011) Arthroscopic anterior talofibular ligament repair for chronic ankle instability with a suture anchor technique. Orthopedics 34:1–5CrossRef

11.

Matsui K, Takao M, Miyamoto W, Innami K, Matsushita T (2014) Arthroscopic Broström repair with Gould argumentation via an accessory anterolateral port for lateral instability of the ankle. Arch Orthop Terauma Surg 134:1461–1467CrossRef

12.

Nery C, Raduan F, Buono AD, Asaumi ID, Cohen M, Maffulli N (2011) Arthroscopic-assisted Broström-Gould for chronic ankle instability: a long-term follow-up. Am J Sports Med 39:2381–2388PubMedCrossRef

13.

Vega J, Golanó P, Pellegrino A, Rabat E, Peña F (2013) All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Foot Ankle Int 34:1701–1709PubMedCrossRef

14.

Cox JS, Hewes TF (1979) Normal talar tilt. Clin Orthop Relat Res 140:37–41PubMed

15.

Grace DL (1984) Lateral ankle ligament injuries. Inversion and anterior stress radiography. Clin Orthop Relat Res 183:153–159PubMed

16.

Ferkel RD, Scranton PE Jr (1993) Arthroscopy of the ankle and foot. J Bone Joint Surg Am 75(8):1233–1242PubMed

17.

Niki H, Aoki H, Inokuchi S, Ozeki S, Kinoshita M, Kura H, Tanaka Y, Noguchi M, Nomura S, Hatori M, Tatsunami S (2005) Development and reliability of a standard rating system for outcome measurement of foot and ankle disorders I: development of standard rating system. J Orthop Sci 10:457–465PubMedPubMedCentralCrossRef

18.

Niki H, Aoki H, Inokuchi S, Ozeki S, Kinoshita M, Kura H, Tanaka Y, Noguchi M, Nomura S, Hatori M, Tatsunami S (2005) Development and reliability of a standard rating system for outcome measurement of foot and ankle disorders II: interclinician and intraclinician reliability and validity of the newly established standard rating scales and Japanese Orthopaedic Association rating scale. J Orthop Sci 10:466–474PubMedPubMedCentralCrossRef

19.

de Leeuw PA, Golanó P, Sierevelt IN, van Dijk CN (2010) The course of the superficial peroneal nerve in relation to the ankle position: anatomical study with ankle arthroscopic implications. Knee Surg Sports Traumatol Arthrosc 18:612–617PubMedPubMedCentralCrossRef

20.

Takao M, Uchio Y, Shu N, Ochi M (1998) Anatomical basis of the ankle arthroscopy: study of superficial and deep peroneal nerves around anterolateral and anterocentral approach. Surg Radiol Anat 20:317–320PubMedCrossRef

21.

Hamilton WG, Thompson FM, Snow SW (1993) The modified Brostrom procedure for lateral ankle instability. Foot Ankle 14(1):1–7PubMedCrossRef

22.

Behrens SB, Drakos M, Lee BJ, Paller D, Hoffman E, Koruprolu S, DiGiovanni CW (2013) Biomechanical analysis of Brostrom versus Brostrom–Gould lateral ankle instability repair. Foot Ankle Int 34:587–592PubMedCrossRef

23.

Maffulli N, Del Buono A, Maffulli GD, Oliva F, Testa V, Capasso G, Denaro V (2013) Isolated anterior talofibular ligament Broström repair for chronic lateral ankle instability: 9-year follow-up. Am J Sports Med 41:858–864PubMedCrossRef

Title: Early recovery after arthroscopic repair compared to open repair of the anterior talofibular ligament for lateral instability of the ankle
Authors: Kentaro Matsui
Masato Takao
Wataru Miyamoto
Takashi Matsushita
Publication date: 01-01-2016
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 1/2016
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-015-2342-3

At a glance: The STEP trials

Springer Medicine

Early recovery after arthroscopic repair compared to open repair of the anterior talofibular ligament for lateral instability of the ankle

Abstract

Introduction

Materials and methods

Results

Conclusions

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

Level of evidence

Please log in to get access to this content

Other articles of this Issue 1/2016

Bone remodelling after femoral short stem implantation in total hip arthroplasty: 1-year results from a randomized DEXA study

Mosaicplasty for the treatment of a large traumatic osteochondral femoral head lesion: a case report with 2 year follow-up and review of the literature

Prognostic factors and therapeutic options for treatment of frozen shoulder: a systematic review

Provisional pin fixation: An efficient alternative to manual maintenance of reduction in nailing of intertrochanteric fractures

Unicompartmental knee arthroplasty in patients over 75 years: a definitive solution?

Septic arthritis caused by Mycobacterium marinum