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A Novel Tenorrhaphy Suture Technique with Tissue Engineered Collagen Graft to Repair Large Tendon Defects

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Modified Broström vs suture tape augmentation: A systematic review.

Sara E Kubick¹, Alexis N Martinez¹, Nathan R Mauren²

¹Resident Physician, Katherine Shaw Bethea Hospital, Dixon, IL.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons

|October 12, 2024

Summary

For chronic lateral ankle instability, modified Broström repair and suture tape augmentation show similar outcomes. Suture tape may offer a faster return to activity, but overall functional scores remain comparable between surgical options.

Keywords:

ankle sprain chronic lateral ankle instability lateral ankle stabilization modified Broström suture tape augmentation

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Area of Science:

Orthopedic Surgery
Sports Medicine
Musculoskeletal Injuries

Background:

Chronic lateral ankle instability often requires surgical intervention when conservative treatments fail.
The modified Broström repair and suture tape augmentation are common surgical techniques for lateral ankle stabilization.
A systematic review is needed to compare their efficacy and patient outcomes.

Approach:

A systematic literature review was conducted using PubMed up to July 2023.
Three randomized controlled trials with a total of 235 patients were included.
Outcome measures including Foot and Ankle Ability Measure (FAAM) and Foot and Ankle Outcome Score (FAOS) were analyzed.

Key Points:

Two studies reported higher postoperative Sports Activity scores in the suture tape group.
No significant differences were found in the Foot and Ankle Outcome Score between the two techniques.
One study indicated a faster return to pre-injury activity levels with suture tape augmentation.

Conclusions:

Current evidence suggests no significant difference in overall outcome measures between modified Broström repair and suture tape augmentation for lateral ankle stabilization.
Suture tape augmentation may provide a quicker return to activity.
Further research may be warranted to elucidate long-term differences, if any.