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The modified Brostrom procedure for lateral ankle instability

W G Hamilton1, F M Thompson, S W Snow

  • 1St. Luke's-Roosevelt Hospital, New York, New York.

Foot & Ankle
|January 1, 1993
PubMed
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The Gould modification of the Brostrom repair effectively treats symptomatic lateral ankle instability in dancers and athletes. This surgical technique yields excellent outcomes, restoring ankle stability and function without complications.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Ankle Reconstruction

Background:

  • Symptomatic lateral ankle instability significantly impacts athletes and dancers.
  • The Brostrom repair is a common surgical approach for ankle instability.
  • Modifications aim to improve outcomes and patient satisfaction.

Purpose of the Study:

  • To evaluate the efficacy of the Gould modification of the Brostrom repair.
  • To assess outcomes in a diverse patient population including professional dancers, athletes, and nonathletes.
  • To determine the complication rate and functional recovery following the procedure.

Main Methods:

  • Retrospective review of 28 ankle repairs in 27 patients.
  • The Gould modification of the Brostrom repair was performed.

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  • Patient demographics and activity levels (professional dancers, athletes, nonathletes) were recorded.

    • Main Results:

    • 26 excellent, 1 good, and 1 fair result were reported out of 28 repairs.
    • All professional ballet dancers achieved excellent outcomes.
    • No failures, stretch-outs, re-dos, or complications were observed during the follow-up period.

    Conclusions:

    • The Gould modification of the Brostrom repair is a highly successful procedure for lateral ankle instability.
    • It is particularly effective for high-level dancers, athletes, and nonathletes.
    • The procedure restores ankle stability with a full range of motion and normal peroneal function.