Advertisement
Review Article| Volume 56, ISSUE 5, P1076-1080, September 2017

Intermediate- to Long-Term Longevity and Incidence of Revision of the Modified Broström-Gould Procedure for Lateral Ankle Ligament Repair: A Systematic Review

      Abstract

      The Broström-Gould procedure is an effective procedure for chronic lateral ankle instability. However, long-term studies are limited, and the durability of this procedure remains unclear. A systematic review of the published data was undertaken to determine the outcomes and incidence of revision after long-term follow-up. Eleven studies involving 669 Broström-Gould procedures met the inclusion criteria. The revision rate was 1.2% at a weighted mean follow-up period of 8.4 years. Our systematic review of the available data revealed that the Broström-Gould procedure results in low revision rates for chronic lateral ankle instability. However, additional prospective comparative analyses are needed regarding this topic.

      Level of Clinical Evidence

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal of Foot and Ankle Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Broström L.
        Sprained ankles, VI: surgical treatment of chronic ligament ruptures.
        Acta Chir Scand. 1966; 132: 551-565
        • Gould N.
        • Seligson D.
        • Gassman J.
        Early and late repair of the lateral ligaments of the ankle.
        Foot Ankle. 1980; 1: 84-89
        • Baumhauer J.F.
        • O'Brien T.
        Surgical considerations in the treatment of ankle instability.
        J Athl Train. 2002; 37: 458-462
        • Liberati A.
        • Altman D.G.
        • Tetzlaff J.
        • Mulrow C.
        • Gøtzsche P.C.
        • Ioannidis J.P.A.
        • Clarke M.
        • Devereaux P.J.
        • Kleijnen J.
        • Moher D.
        The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.
        J Clin Epidemiol. 2009; 62: e1-e34
        • Coleman B.D.
        • Khan K.M.
        • Maffulli N.
        • Cook J.L.
        • Wark J.D.
        Studies of surgical outcome after patellar tendinopathy: clinical significance of methodological deficiencies and guidelines for future studies. Victorian Institute of Sport Tendon Study Group.
        Scand J Med Sci Sports. 2000; 10: 2-11
        • 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: 581-588
        • Lofvenberg R.
        • Karrholm J.
        • Ahlgren O.
        Ligament reconstruction for ankle instability: a 5-year prospective RSA follow-up of 30 cases.
        Acta Orthop Scand. 1994; 65: 401-407
        • Maffuli N.
        • Buono A.D.
        • Maffuli G.D.
        • Oliva F.
        • Testa V.
        • Capasso G.
        • Denaro V.
        Isolated anterior talofibular ligament Broström repair for chronic lateral ankle instability: 9-year follow-up.
        Am J Sports Med. 2013; 41: 858-864
        • Lee K.T.
        • Park Y.U.
        • Kim J.S.
        • Kim J.B.
        • Kim K.C.
        • Kang S.K.
        Long-term results after modified Brostrom procedure without calcaneofibular ligament reconstruction.
        Foot Ankle Int. 2011; 32: 153-157
        • Bell J.
        • Mologne T.S.
        • Sitler D.F.
        • Cox J.S.
        Twenty-six year results after Broström procedure for chronic lateral ankle instability.
        Am J Sports Med. 2006; 34: 975-978
        • Krips R.
        • Van Dijk N.
        • Happu T.H.
        • Moyen L.B.
        • Tamas A.L.
        • Karlsson J.
        Anatomical reconstruction versus tenodesis for the treatment of chronic anterolateral instability of the ankle joint: a 2- to 10-year follow-up, multicenter study.
        Knee Surg Sports Traumatol Arthrosc. 2000; 8: 173-179
        • Krips R.
        • van Dijk C.N.
        • Halasi T.
        • Lehtonen H.
        • Corradini C.
        • Moyen B.
        • Karklsson J.
        Long-term outcome of anatomical reconstruction versus tenodesis for the treatment of chronic anterolateral instability of the ankle joint: a multicenter study.
        Foot Ankle Int. 2001; 22: 415-421
        • Hamilton W.G.
        • Thompson F.M.
        • Snow S.W.
        The modified Brostrom procedure for lateral ankle instability.
        Foot Ankle. 1993; 14: 1-7
        • Muijs S.P.
        • Dijkstra P.D.
        • Bos C.F.
        Clinical outcome after anatomical reconstruction of the lateral ankle ligaments using the Duquennoy technique in chronic lateral instability of the ankle: a long-term follow up study.
        J Bone Joint Surg Br. 2008; 90: 50-56
        • Brodsky A.R.
        • O'Malley M.J.
        • Bohne W.H.
        • Deland J.A.
        • Kennedy J.G.
        An analysis of outcome measures following the Broström-Gould procedure for chronic lateral ankle instability.
        Foot Ankle Int. 2005; 26: 816-819
        • Tourne Y.
        • Mabit C.
        • Moroney P.J.
        • Charssard C.
        • Saragaglia D.
        Instability, long-term follow-up of lateral reconstruction with extensor retinaculum flap for chronic ankle.
        Foot Ankle Int. 2012; 33: 1079-1086
        • DiGiovanni C.W.
        • Brodsky A.
        Current concepts: lateral ankle instability.
        Foot Ankle Int. 2006; 27: 854-866
        • Ahlgren O.
        • Larsson L.
        Reconstruction for lateral ligament injuries of the ankle.
        J Bone Joint Surg Br. 1989; 71: 300-303
        • Buerer Y.
        • Winkler M.
        • Burn A.
        • Chopra A.
        • Crevoisier X.
        Evaluation of a modified Broström-Gould procedure for treatment of chronic lateral ankle instability: a retrospective study with critical analysis of outcome scoring.
        Foot Ankle Surg. 2013; 19: 36-41
        • Petrera M.
        • Dwyer T.
        • Theodoropoulos J.S.
        • Ogilvie-Harris D.J.
        Short to medium-term outcomes after a modified Brostrom repair for lateral ankle instability with immediate postoperative weightbearing.
        Am J Sports Med. 2014; 42: 1542-1548
        • Good C.J.
        • Jones M.A.
        • Lingstone B.N.
        Reconstruction of the lateral ligament of the ankle.
        Injury. 1975; 7: 63-65