Postural stability after operative reconstruction of the AFTL in chronic ankle instability comparing three different surgical techniques.

IF 1.7 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Open Medicine Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI:10.1515/med-2024-1028
Juergen Goetz, Clemens Baier, Georg Vitzethum, Joachim Grifka, Guenther Maderbacher, Hans-Robert Springorum
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Abstract

Background: Chronic lateral ankle instability is a relatively frequent consequence after acute ankle sprain. In case of unsuccessful conservative treatment, surgical therapy is recommended to prevent osteoarthritis of the ankle joint. To date, different surgical methods have evolved. Yet, it remains unclear which approach reveals the best results. We hypothesized that the modified Broström-Gould procedure with suture anchor ligament fixation leads to superior postoperative results compared to the Broström-Gould procedure or the periosteal flap technique.

Material and methods: In a prospective study, we examined the three surgical techniques. For this purpose, we performed a matched-pair analysis with four groups according to age, sex, and body mass index: periosteal flap technique (G1), Broström-Gould procedure (G2), modified Broström-Gould procedure with suture anchor ligament fixation (G3), and a control group (G4). Results were compared with the American Orthopaedic Foot & Ankle Society (AOFAS) score, a functional analysis as well as measuring postural stability with the Biodex balance system.

Results: No significant differences were found between all four groups concerning AOFAS score, functional results, as well as postural stability.

Conclusion: All three surgical methods revealed satisfactory results. No significant differences could be detected in clinical and functional categories. The Broström-Gould method as well as the modified procedure with anchor can be recommended as surgical therapy for chronic lateral ankle instability. Additional anchors do not seem to have a significant positive impact on the results.

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比较三种不同手术技术对慢性踝关节不稳的 AFTL 手术重建后的姿势稳定性。
背景:慢性外侧踝关节不稳是急性踝关节扭伤后比较常见的后果。在保守治疗不成功的情况下,建议采用手术治疗来预防踝关节骨关节炎。迄今为止,已发展出不同的手术方法。然而,目前仍不清楚哪种方法效果最好。我们假设,采用缝合锚韧带固定的改良布罗斯特伦-古尔德手术与布罗斯特伦-古尔德手术或骨膜瓣技术相比,术后效果更佳:在一项前瞻性研究中,我们考察了三种手术技术。为此,我们进行了配对分析,根据年龄、性别和体重指数分为四组:骨膜瓣技术组(G1)、布罗斯特伦-古尔德手术组(G2)、改良布罗斯特伦-古尔德手术加缝合锚韧带固定组(G3)和对照组(G4)。结果与美国骨科足踝协会(AOFAS)评分、功能分析以及用 Biodex 平衡系统测量姿势稳定性进行了比较:结果:四组患者在美国足踝矫形协会(AOFAS)评分、功能结果和姿势稳定性方面均无明显差异:结论:三种手术方法都取得了令人满意的效果。结论:三种手术方法都取得了令人满意的效果,在临床和功能方面没有发现明显差异。Broström-Gould方法和带锚的改良手术可作为慢性外侧踝关节不稳定的手术疗法。额外的锚似乎对结果没有明显的积极影响。
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来源期刊
Open Medicine
Open Medicine Medicine-General Medicine
CiteScore
3.00
自引率
0.00%
发文量
153
审稿时长
20 weeks
期刊介绍: Open Medicine is an open access journal that provides users with free, instant, and continued access to all content worldwide. The primary goal of the journal has always been a focus on maintaining the high quality of its published content. Its mission is to facilitate the exchange of ideas between medical science researchers from different countries. Papers connected to all fields of medicine and public health are welcomed. Open Medicine accepts submissions of research articles, reviews, case reports, letters to editor and book reviews.
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