AI Article Synopsis
- Up to 20% of patients with an ankle sprain may develop chronic lateral ankle instability (CLAI), potentially necessitating surgery like the Brostrom-Gould technique (BGT).
- A study of 79 non-athlete patients showed significant improvements in function post-surgery, with AOFAS scores rising from 64.6 to 97.2, and 77.2% returning to their preinjury sports activities.
- Despite these improvements, some patients experienced residual pain and symptoms of instability, which affected their ability to engage fully in physical activities.
Article Abstract
Introduction: After an ankle sprain, up to 20% of patients may develop chronic lateral ankle instability (CLAI) requiring surgical treatment. The objective of this study was to investigate the functional outcomes and rates of return to sport activities in a cohort of non-athlete patients with chronic lateral ankle instability (CLAI) who underwent the opened Brostrom-Gould technique (BGT).
Materials And Methods: Seventy-nine patients (seventy-nine feet) from three different centers undergoing BGT were reviewed. For clinical and functional analysis, the AOFAS ankle-hindfoot scale was applied and rates of return to sport activities were assessed. Correlation of Δ-AOFAS and rates of return to sport activities with all variables analyzed was performed.
Results: Mean AOFAS score improved from 64.6 to 97.2 (p < 0.001). Sixty-one (77.2%) returned to preinjury activities and 18 (22.8%) changed to a lower-level modality. Symptoms of instability were related to Δ-AOFAS (p = 0.020). Change in the sport activity was related to pain and symptoms of instability (p = 0.41 and p < 0.001).
Conclusion: Recreational athlete patients who underwent the BGT demonstrated excellent functional outcomes after a mean follow-up of 7 years. Residual pain and symptoms of instability after surgery were the main complaints associated with limitations in physical activities.
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| http://dx.doi.org/10.1007/s00590-024-03882-1 | DOI Listing |
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