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Knee Surgery, Sports Traumatology, Arthroscopy

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01-01-2020 | ANKLE

Simultaneous ossicle resection and lateral ligament repair give excellent clinical results with an early return to physical activity in pediatric and adolescent patients with chronic lateral ankle instability and os subfibulare

Authors: Maya Kubo, Youichi Yasui, Jun Sasahara, Shinya Miki, Hirotaka Kawano, Wataru Miyamoto

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 1/2020

Abstract

Purpose

To elucidate surgical outcomes in pediatric/adolescent patients with chronic lateral ankle instability and os subfibulare.

Methods

A retrospective chart review was conducted of pediatric/adolescent patients with chronic lateral ankle instability and os subfibulare following simultaneous ossicle resection and lateral ligament repair using suture anchors with subsequent immediate full weightbearing and active range of motion exercises for the ankle in our department between 2013 and 2017. Clinical outcomes were evaluated by comparing preoperative and final follow-up American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale (AOFAS) and Karlsson-Peterson ankle function scores. Intervals between surgery and return to physical education in school were determined.

Results

31 feet of 15 male and 16 female patients were examined. Mean postoperative follow-up duration was 40.7 ± 12.7 (range 24–66) months. Mean AOFAS score increased significantly from 66.3 ± 2.5 (range 62–77) preoperatively to 96.5 ± 4.9 (range 87–100) at final follow-up (p < 0.001). Mean Karlsson-Peterson score increased significantly from 51.7 ± 4.0 (range 47–70) preoperatively to 95.3 ± 6.7 (range 80–100) at final follow-up (p < 0.001). Mean interval between surgery and return to physical education in school was 11.4 ± 1.6 (range 10–18) weeks.

Conclusion

Simultaneous ossicle resection and lateral ligament repair using suture anchors with subsequent immediate full weightbearing and active ankle range of motion exercises may give excellent clinical outcomes with early return to physical activity for chronic lateral ankle instability with os subfibulare in pediatric/adolescent patients desiring an early return to physical activity.

Level of evidence

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Title: Simultaneous ossicle resection and lateral ligament repair give excellent clinical results with an early return to physical activity in pediatric and adolescent patients with chronic lateral ankle instability and os subfibulare
Authors: Maya Kubo
Youichi Yasui
Jun Sasahara
Shinya Miki
Hirotaka Kawano
Wataru Miyamoto
Publication date: 01-01-2020
Publisher: Springer Berlin Heidelberg
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 1/2020
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-019-05718-6

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Springer Medicine

Simultaneous ossicle resection and lateral ligament repair give excellent clinical results with an early return to physical activity in pediatric and adolescent patients with chronic lateral ankle instability and os subfibulare

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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