Clinical efficacy of Brostr?m-Gould procedure combined with Internal Brace augmentation in the treatment of chronic lateral ankle instability
Objective:To explore the clinical efficacy of Broström-Gould procedure combined with Internal Brace augmentation in the treatment of chronic lateral ankle instability(CLAI).Methods:From March 2018 to December 2022,data from 32 CL AI patients,including 19 males and 13 females,aged 23-56 years with the median age of 36(29,41)years,who underwent Broström-Gould combined with Internal Brace reconstruction of the anterior talofibular ligament were retrospectively analyzed.There were 13 sports injuries,15 flat sprains and 4 traffic injuries.The American Orthopedic Foot and Ankle Society(AOFAS)ankle-hindfoot scores and Kofoed scores before the operation and the last follow-up were recorded to evaluate ankle joint function.The visual analogue scale(VAS)score of pain was also recorded.Additionally,the occurrence of complications was observed.Results:All surgeries were operated smoothly,with wound healing occurring in one stage after the operation.However,one patient experienced superficial peroneal nerve injury.Patients were followed up for 12-38 months,with the median of 17(14,18)months.At the last follow-up,the AOFAS score increased from(68.4±10.4)to(92.2±11.2)points,and the Kofoed score increased from(64.6±14.1)to(90.0±7.9)points.The VAS pain score decreased from 3.2(2.5,3.6)to 0.8(0.5,1.0)points.These improvements were statistically significant(all P＜0.05).One patient experienced a sensation of lateral ankle tightness six months postoperatively,which resolved after functional exercises.Conclusions:The combination of Broström-Gould procedure with Internal Brace augmentation provides reliable immediate stability for the treatment of CLAI,with a low incidence of complications,facilitating early functional rehabilitation for patients to resume weight-bearing and daily activities promptly.
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