Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun;31(6):2208-2215.
doi: 10.1007/s00167-022-07289-5. Epub 2022 Dec 23.

Arthroscopic Broström-Gould repair has comparable radiological and clinical outcomes compared to traditional open Broström-Gould repair in high-demand patients

Jong Hun Baek  1 , Jin Hyung Kim  1 , Bi O Jeong  2
Affiliations

Arthroscopic Broström-Gould repair has comparable radiological and clinical outcomes compared to traditional open Broström-Gould repair in high-demand patients

Jong Hun Baek et al. Knee Surg Sports Traumatol Arthrosc. 2023 Jun.

Abstract

Purpose: This study sought to confirm whether traditional open Broström-Gould repair and arthroscopic Broström-Gould repair for chronic ankle instability (CAI) would produce comparable radiological and clinical outcomes in high-demand patients.

Methods: This retrospective case-cohort study included high-demand patients, as determined by a pre-injury Tegner Activity Level ≥ 6, who underwent Broström-Gould repair and were followed up for ≥ 2 years. Patients were divided into the arthroscopic Broström-Gould repair group (AS Group) and the open Broström-Gould repair group (Open Group). Perioperative radiological assessments were performed. The Tegner Activity Levels, Foot and Ankle Outcome Scores (FAOSs), Karlsson and Peterson (K-P) scores, and American Orthopaedic Foot and Ankle Society ankle-hindfoot (AOFAS) scores were evaluated clinically.

Results: A total of 65 patients (31 from the AS Group and 34 from the Open Group) were included in the study. There were no differences in age, sex, body mass index, preoperative anterior talar translation, talar tilt, signal-to-noise ratio, FAOS, K-P score, or AOFAS score between the two groups (n.s.). The preinjury median Tegner Activity Level was 7 and unchanged at the final follow-up in both groups. Postoperative stress radiographs showed improvement; however, the groups did not differ significantly. The FAOS, K-P scores, and AOFAS scores improved in each group (P < 0.001). However, the clinical scores did not differ between the groups (all n.s.).

Conclusions: Traditional open and arthroscopic Broström-Gould repair for CAI in high-demand patients had comparable radiological and clinical outcomes. Clinically, arthroscopic Broström-Gould repair may represent a viable surgical alternative to open Broström-Gould repair in high-demand patients.

Level of evidence: Level III.

Keywords: Anterior talofibular ligament; Arthroscopic Broström–Gould repair; Chronic ankle instability; High demand patients.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Acevedo JI, Mangone P (2015) Ankle instability and arthroscopic lateral ligament repair. Foot Ankle Clin 20:59–69. https://doi.org/10.1016/j.fcl.2014.10.002 - DOI - PubMed
    1. Ahn J, Choi JG, Jeong BO (2021) The signal intensity of preoperative magnetic resonance imaging has predictive value for determining the arthroscopic reparability of the anterior talofibular ligament. Knee Surg Sports Traumatol Arthrosc 29:1535–1543. https://doi.org/10.1007/s00167-020-06208-w - DOI - PubMed
    1. Benazzo F, Zanon G, Marullo M, Rossi SM (2013) Lateral ankle instability in high-demand athletes: reconstruction with fibular periosteal flap. Int Orthop 37:1839–1844. https://doi.org/10.1007/s00264-013-2049-4 - DOI - PubMed - PMC
    1. Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR (2009) The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med 37:890–897. https://doi.org/10.1177/0363546508330143 - DOI - PubMed
    1. Brown AJ, Shimozono Y, Hurley ET, Kennedy JG (2018) Arthroscopic repair of lateral ankle ligament for chronic lateral ankle instability: a systematic review. Arthroscopy 34:2497–2503. https://doi.org/10.1016/j.arthro.2018.02.034 - DOI - PubMed

LinkOut - more resources