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Related Concept Videos

Ankle Joint01:10

Ankle Joint

2.6K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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[Chronic lateral ankle instability. Modified technique].

P Parra-Téllez1, I Muñoz-Fernández2, E López-Gavito3

  • 1Servicio de Cirugía de Pie y Tobillo y Deformidades Neuromusculares. Instituto Nacional de Rehabilitación «Dr. Luis Guillermo Ibarra Ibarra». Av. México-Xochimilco 289, C.P. 14389. Ciudad de México. México.

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Summary

The modified Broström-Gould technique using anchors effectively treats chronic ankle instability, improving patient outcomes. This surgical approach repairs damaged ligaments, offering a viable solution for recurrent ankle sprains.

Keywords:
Ankle sprainsports injuries of the ankle

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Ankle Reconstruction

Background:

  • Chronic ankle instability involves recurrent ankle sprains, impacting function.
  • It can manifest as either functional or mechanical instability.
  • Surgical intervention is often considered for persistent cases.

Purpose of the Study:

  • To evaluate the efficacy of the modified Broström-Gould technique with anchors for chronic lateral ankle instability.
  • To assess patient outcomes using the American Orthopaedic Foot and Ankle Society (AOFAS) scale and radiographic analysis.
  • To analyze data from patients treated between 2008 and 2016.

Main Methods:

  • A prospective, descriptive, cross-sectional study design was employed.
  • The study included patients diagnosed with chronic lateral ankle instability.
  • Treatment involved the Broström-Gould procedure augmented with suture anchors.

Main Results:

  • The study followed 13 patients (1 male, 12 female) with an average age of 38 years.
  • The modified Broström-Gould technique showed a significant improvement in AOFAS scores from pre-surgery (average not specified) to 6 months post-surgery (73.4 ± 18).
  • Left ankle (54%) involvement was slightly more common than right ankle (46%).

Conclusions:

  • The modified Broström-Gould technique, when combined with anchors, provides a straightforward and effective surgical option.
  • This method facilitates the repair or replacement of key ankle ligaments, including the anterior peroneal and peroneocalcaneal fibular ligaments.
  • It represents a valuable alternative for managing chronic lateral ankle instability.