J Korean Foot Ankle Soc.
2006 Jun;10(1):60-65.
The Results of Modified Brostrom Procedure for the Treatment of Chronic Lateral Ankle Instability
- Affiliations
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- 1Department of Orthopedic Surgery, Sung-Ae General Hospital, Seoul, Korea. jsj232@naver.com
- 2Department of Orthopedic Surgery, Kwangmyung Sung-Ae General Hospital, Gwangmyung, Korea.
Abstract
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PURPOSE: This study was performed to evaluate clinical and radiographical results of treatment of chronic lateral ankle instability with modified Brostrom procedure.
MATERIALS AND METHODS
This is a retrospective study of 22 cases in 22 patients treated with modified Brostrom procedure under the diagnosis of chronic lateral ankle instability from May 2000 to August 2004. Average age was 32.3 years. Average follow-up period was 23 months. Preoperative and postoperative radiographs of ankle anteroposterior view, lateral view and varus stress view were analyzed. The clinical evaluation was performed according to the Americal Orthopaedic Foot and Ankle Society scales.
RESULTS
After the modified Brostrom procedure, Americal Orthopaedic Foot and Ankle Society scales score was improved by average 28 points. Among the 22 cases, 13 cases were excellent, 3 cases good, 4 cases fair, and 2 cases poor with satisfaction of 73%. Five cases had intermittent ankle pain of whom 3 cases had difficulty during competitive sports activity. Lateral tilting of talus improved by average 5.4 degrees on varus stress view.
CONCLUSIONS
The modified Brostrom procedure is one of the most effective methods for treating of chronic lateral ankle instability.