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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
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[EXPERIENCE IN ARTHROSCOPIC TREATMENT OF PATIENTS WITH HAGLUND'S DEFORMATION]
V Menshikov1, F Lazko1, A Prizov1
1Federal State Autonomous Educational Institution of Higher Education "Peoples' Friendship University of Russia", Moscow; GBUZ "City Clinical Hospital. V.M. Buyanova of the Moscow Department of Health ", Moscow, Russia.
Georgian Medical News
|April 13, 2022
Summary
Arthroscopic Brostrom-Gould surgery effectively treats chronic lateral ankle instability. Patients reported high satisfaction and significant improvement in ankle function after the procedure.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Chronic lateral ankle instability often results from ligamentous injuries.
- Anterolateral instability can lead to persistent pain and functional limitations.
- Surgical intervention is considered for persistent instability unresponsive to conservative treatment.
Purpose of the Study:
- To evaluate the outcomes of arthroscopic Brostrom-Gould surgery for chronic lateral ankle instability.
- To identify risk factors for recurrent instability post-surgery.
- To assess diagnostic methods for instability recurrence.
Main Methods:
- Arthroscopic Brostrom-Gould procedure using anchor fixators in 28 patients.
- Pre- and post-operative assessment using the American Orthopedic Society for Foot and Ankle Surgery (AOFAS) and Visual Analog Scale (VAS) scores.
- Average follow-up of 58.4 months.
Main Results:
- Significant improvement in AOFAS scores from 52.6 to 98.6 (p˂0.005).
- High patient satisfaction reported.
- Average VAS pain scores ranged from 6-8 points.
Conclusions:
- Arthroscopic Brostrom-Gould operation is a safe and effective treatment for chronic lateral ankle instability.
- The procedure leads to substantial functional recovery and patient satisfaction.
- Further research may explore risk factors and diagnostic strategies for recurrence.

