COMBINATION OF MODIFIED BROSTRÖM PROCEDURE AUGMENTATED WITH INTERNALBRACE AND ANKLE ARTHROSCOPIC SURGERY FOR CHRONIC LATERAL ANKLE INSTABILITY: CLINICAL OUTCOMES AT VIET DUC UNIVERSITY HOSPITAL

改良Broström手术联合内固定支具和踝关节镜手术治疗慢性外侧踝关节不稳:越德大学医院的临床结果

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Abstract

OBJECTIVES: Describing the clinical features, image diagnosing and evaluating clinical outcomes combining the open modified Broström procedure and InternalBrace augmentation with ankle arthroscopic surgery in patients with ATFL repaired. SUBJECTS AND METHODS: The study included 15 patients diagnosed with ATFL torn and underwent surgical treatment. A descriptive, retrospective study from 2019 to 2022 at Viet Duc University Hospital. RESULT: All of the patients satisfied with the surgery results. The AOFAS significantly improved from preoperative averaging from 63.6 ±10.4 (55-70) up to 92.7±4.5 (70-100), respectively (P <0,001) with an average follow-up time of 39.86 months. Intra-articular lesions were found in 14 ankles (93.3%), including 10 with synovitis and soft-tissue impingement, 6 with chondral injuries, 6 with anterior tibial and talus osteophytes. CONCLUSIONS: Surgical repair of ATFL by modified Broström procedure augmentated with InternalBrace is an effective technique, which helps stabilizing the ankle joint, improve the clinical outcomes significantly.

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