THE OUTCOME OF PATIENTS WHO UNOERWENT THE BROSTRÔM'S TECHNIQUE WITH CHRONIC LATERAL ANKLE INSTABILITY
Keywords:
chronic lateral ankle instability, surgical treatment, ankle sprains, BrostrômAbstract
Objective
Spraining of the ankle's lateral complex are /esions that occur frequently during the practice of sports activities. The anterior fibulotalar !igament is most commonly affected and usual!y responds we/1 to non-surgical treatment. The patients that present pain and chronic instability usually require surgery. The purpose of this study was to eva!uate the patients who underwent the Brostrôm's technique with chronic lateral ankle instability.
Methods
Twenty patients were analyzed at the Maternity Hospital Celso Piero. Eleven women and nine men, with an average age of 32. 7 years, presenting chronic lateral instability were submitted to surgery using the Brostrôm's technique. A clinica! ana!ysis of the patients was dane at the moment of the surgical indication and one year after the procedure. The parameters analyzed were based on the protocols established by the American Orthopaedics Foot and Ankle Society (AOFAS) and Maryland Foot Score.
Results
The post-operative scores showed an increase of zero to 64 points, with an average of 25. 1 points according to the American Orthopaedics Foot and Ankle Society protocol. An increase of zero to 45 points, with the average of
14.6 points was observed using the Maryland Foot Scores, being 14 results classified as excel/ent (70%), five as effective (25%) and one as regular (5%).
Conclusion
The Brostrôm's technique therefore presents good results for the surgica/ treatment of chronic lateral instabi/ities of the ankle.
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References
Karlsson J, Eriksson BI, Bergsten T, Rudholm O, Swarde L. Comparison of two anatomic reconstructions for chronic lateral instability of the ankle joint. Am J Sports Med. 1997; 25(1):48-53.
Liu SH, Baker CL. Comparison of lateral ankle ligamentous reconstruction procedures. Am J Sports Med. 1994; 22(3):313-7.
Clanton TO. Athletic injuries to the soft tissues of the foot and ankle. ln: Coughlin MJ, Mann RA. Surgery of the foot and ankle. 17th ed. St Louis: Mosby; 1999. p.1114-30.
Henning EE, Henning C. Fraturas e lesões do tornozelo no adulto. ln: Hebert S, Xavier R. Ortopedia e traumatologia: princípios e práticas 3.ed. Porto Alegre: Artmed; 2003. p.1388-404.
Girard P, Anderson RB, Davis WH, lsear Jr JA Clinicai evaluation of the modified Brostrõm-Evans procedure to restore ankle stability. Foot Ankle lnt 1999; 20(4): 246-52.
Brostrõm L. Sprained ankles VI: surgical treatment of "chronic ligament ruptures". Acta Chir Scand. 1966; 132(5):551-63.
Kitaoka HB, Alexander IJ, Adelaar RS, Nunley JÁ, Myerson MS, Sanders M. Clinicai rating systems for the ankle-hindfoot, midfoot, hsllux and lesser toes. Foot Ankle. 1994; 15(7) 349-53
Myerson MS, Fischer RT, Burgess AR, Kenzona JE. Fracture dislocation of the tarsometatarsal joints: end results correlacted with pathology and treatment Foot Ankle. 1986; 6(5):225-42.
Fusion RL, Sherman M, Vleet JV, Wendt T Current concepts review: the conduct of orthopaedic clinicai triai. J Bone Joint Surg Am. 1997; 79(7): 1089-98.
Mascarava TB, Swanson LE. Rehabilitation of the foot ankle. Orthop Clin North. 1994; 25(1): 147-60.
Karlsson J, Bergsten T, Lansinger O, Peterson L. Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg Am. 1988; 70(4):581-8.
Santin RAL, Cillo MSP. Tratamento cirúrgico das lesões ligamentares crônicas laterais do tornozelo pela técnica de Brõstrom. Rev Bras Ortop. 1996; 31(9/10): 843-6.