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Journal of Orthopaedics and Traumatology

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Open Access 01-12-2016 | Original Article

Clinical results of an arthroscopic modified Brostrom operation with and without an internal brace

Authors: Jae-Sung Yoo, Eun-Ah Yang

Published in: Journal of Orthopaedics and Traumatology | Issue 4/2016

Abstract

Background

The concept of utilizing nonabsorbable suture tape fixed directly to bone to augment Brostrom repairs of the anterior talofibular ligament (ATFL) has been proposed. However, no clinical data are currently available regarding the arthroscopic modified Brostrom operation with an internal brace.

Materials and methods

This study involved 85 consecutive patients (22 in the with internal brace group; 63 in the without internal brace group) who could be followed up for >6 months after undergoing an arthroscopic modified Brostrom operation. The American Orthopaedic Foot & Ankle Society (AOFAS) score was administered to assess the functional status. At preoperation and at 24 weeks after surgery, the anterior drawer test was examined clinically.

Results

Improvement of mean AOFAS score in the internal brace group from before surgery to two weeks after surgery was statistically significant (p < 0.05). At 24-week follow-up, the anterior drawer test showed grade 0 laxity in 19 patients (86.4 %) and grade 1 in three patients (13.6 %). Improvement of AOFAS score in the group without an internal brace from before surgery to 6 weeks after surgery was not statistically significant (p = 0.001). At 24-week follow-up, the anterior drawer test showed grade 0 laxity in 54 patients (85.7 %) and grade 1 in nine patients (14.3 %).

Conclusion

Patients in the internal brace group were able to quickly return to activity and sports. We believe this technique could be a viable option for surgically treating chronic lateral ankle instability in patients who need an early return to activity and sports.

Level of evidence

III.

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Title: Clinical results of an arthroscopic modified Brostrom operation with and without an internal brace
Authors: Jae-Sung Yoo
Eun-Ah Yang
Publication date: 01-12-2016
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 4/2016
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1007/s10195-016-0406-y

At a glance: The STEP trials

Springer Medicine

Clinical results of an arthroscopic modified Brostrom operation with and without an internal brace

Abstract

Background

Materials and methods

Results

Conclusion

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

Level of evidence

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