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Evaluation of a modified Broström–Gould procedure for treatment of chronic lateral ankle instability: A retrospective study with critical analysis of outcome scoring

Authors
Journal
Foot and Ankle Surgery
1268-7731
Publisher
Elsevier
Volume
19
Issue
1
Identifiers
DOI: 10.1016/j.fas.2012.10.005
Keywords
  • Ankle Instability
  • Broström–Gould
  • Outcome Scores

Abstract

Abstract Background Chronic lateral ankle instability accounts for 20% of the ankle injuries. This study evaluates functional outcome of the modified Broström–Gould technique using suture anchors, with 4 different clinical scores. Methods A consecutive series of 41 patients were included with a minimum follow-up of one year. The function was assessed using 4 clinical scores including: the AOFAS for hind foot; the FAAM; the CAIT and the CAIS. Results Out of 41 patients; 27 patients were very satisfied, 11 satisfied and 3 were not satisfied. Ankle mobility returned to normal in 93% of patients. At follow-up the AOFAS was 89/100 (37–100), the FAAM 85/100% (35–100%), the CAIT 20/30 (5–30), and the CAIS 74/100% (27–100%). Conclusion Outcome of modified Broström–Gould procedure is good with high satisfaction rate in terms of ankle mobility. The disparity in outcome of scores, signals towards the need of a standard evaluation system.

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