Abstract
Lateral ankle sprains are a common injury that typically respond well to nonoperative
therapy. When nonoperative therapy fails and patients develop chronic lateral ankle
instability, they become candidates for surgical repair. The present study examined
45 consecutive patients (45 ankles) with chronic lateral ankle instability who underwent
arthroscopic Broström repair using a double-row suture anchor construct. The 45 patients
(27 females and 18 males) were followed up for a mean of 14 (range 12 to 20) months.
The mean time to weightbearing with crutches was 3.3 (range 2 to 4) days, and full
weightbearing was initiated at a mean of 14.4 (range 12 to 16) days. All patients
participated in structured physical therapy, which was started at 21.6 (range 18 to
23) days. Patients were transitioned to regular shoe gear with a stirrup-style ankle
brace at 28.7 (range 26 to 31) days. The American Orthopaedic Foot and Ankle Society
scale scores improved from an average preoperative score of 48.7 (range 45 to 55)
to 95.4 (range 90 to 100) postoperatively. The average visual analog scale decreased
from 8 (range 6 to 10) preoperatively to 0.6 (range 0 to 5) postoperatively at the
last follow-up visit. The Karlsson-Peterson score postoperatively was 87 of 100. We
have shown that patients with this new arthroscopic Broström technique modified with
a proximal suture anchor can begin weightbearing earlier than previously reported,
without adverse effects in terms of pain, functional outcomes scores, and clinical
outcomes.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: September 13, 2016
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: James M. Cottom is a paid consultant for Arthrex and Stryker Corporations.
Identification
Copyright
© 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.
