Treatment of chronic lateral ankle instability: a modified Broström technique using three suture anchors.

Abstract:

:Ankle sprains are very common injuries seen in the athletic and young population. Majority of patients will improve with a course of rest and physical therapy. However, with conservative management about twenty percent of all patients will go on to develop chronic lateral ankle instability. This manuscript describes our detailed surgical technique of a modification to the original Broström procedure using three suture anchors to anatomically reconstruct the lateral ankle ligaments to treat high demand patients who have developed chronic lateral ankle instability. The rationale for this modification along with patient selection and workup are discussed. Both the functional outcomes at the two year follow up along with the complications and the detailed postoperative rehabilitation protocol for the high demand athletes are also presented. This modified Broström procedure is shown in both illustrative format and intra-operative photos.

journal_name

J Orthop Surg Res

authors

Li X,Lin TJ,Busconi BD

doi

10.1186/1749-799X-4-41

subject

Has Abstract

pub_date

2009-12-02 00:00:00

pages

41

issn

1749-799X

pii

1749-799X-4-41

journal_volume

4

pub_type

杂志文章
  • Quality of life and clinical-radiological long-term results after implant-associated infections in patients with ankle fracture: a retrospective matched-pair study.

    abstract:BACKGROUND:Ankle fractures are frequently occurring injuries. Despite the relatively simple operative technique, patients often suffer from postoperative complications. Little is known about postoperative treatment of implant-associated infections of the ankle. Therefore, this study shows and evaluates a treatment algo...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-017-0608-x

    authors: Ziegler P,Schlemer D,Flesch I,Bahrs S,Stoeckle U,Werner S,Bahrs C

    更新日期:2017-07-17 00:00:00

  • "A free thenar flap--a case report".

    abstract::We present a case report of a free thenar flap surgery done for a volar right hand middle finger, distal and middle phalanx degloving injury. A free thenar flap is a fasciocutaneous sensate flap supplied by a constant branch of the superficial radial artery and its variable nerve supply. It has a distinct advantage of...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/1749-799X-2-4

    authors: Garg R,Fung BK,Chow SP,Ip Wy

    更新日期:2007-03-12 00:00:00

  • Perioperative allogenic blood transfusion increases the incidence of postoperative deep vein thrombosis in total knee and hip arthroplasty.

    abstract:BACKGROUND:Excessive blood loss caused by total joint arthroplasty (TJA) often increases the requirement for blood transfusion, which is associated with adverse outcomes. The purpose of this study was to determine the relationship between perioperative transfusion and postoperative DVT in TJA. METHODS:This retrospecti...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-019-1270-2

    authors: Jiang T,Song K,Yao Y,Pan P,Jiang Q

    更新日期:2019-07-23 00:00:00

  • Acetabular reinforcement ring with additional hook improves stability in three-dimensional finite element analyses of dysplastic hip arthroplasty.

    abstract:BACKGROUND:The stability of acetabulum reconstructions using reinforcement rings and hooks is important for successful replacement surgery. The objective of this study was to biomechanically determine the effects of the hook on stress and the related micromotions of the acetabular reinforcement ring during the immediat...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-018-1023-7

    authors: Totoribe K,Chosa E,Yamako G,Zhao X,Ouchi K,Hamada H,Deng G

    更新日期:2018-12-07 00:00:00

  • Right thoracic curvature in the normal spine.

    abstract:BACKGROUND:Trunk asymmetry and vertebral rotation, at times observed in the normal spine, resemble the characteristics of adolescent idiopathic scoliosis (AIS). Right thoracic curvature has also been reported in the normal spine. If it is determined that the features of right thoracic side curvature in the normal spine...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/1749-799X-6-4

    authors: Doi T,Harimaya K,Mitsuyasu H,Matsumoto Y,Masuda K,Kobayakawa K,Iwamoto Y

    更新日期:2011-01-14 00:00:00

  • A CT study of the femoral and sciatic nerve periacetabular moving in different hip positions.

    abstract:BACKGROUND:Femoral and sciatic nerves could be damaged during various stages of the periacetabular osteotomy. Changing the position of the hip could be the most effective way of preventing nerve injuries. The purpose of the present study was to investigate the distances of the nerves to various bony landmarks with diff...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-020-01937-7

    authors: Isin Y,Hapa O,Kara YS,Kilic AI,Balcı A

    更新日期:2020-09-11 00:00:00

  • Apoptosis of endplate chondrocytes in cervical kyphosis is associated with chronic forward flexed neck: an in vivo rat bipedal walking model.

    abstract:BACKGROUND:This study was undertaken to establish a rat bipedal walking model of cervical kyphosis (CK) associated with chronic forward flexed neck and assess the effects of chronic forward flexed neck on endplate chondrocytes. METHODS:Forty-eight 1-month-old Sprague-Dawley rats were randomly divided into 3 groups: fo...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-020-02124-4

    authors: Lai J,Ji G,Zhou Y,Chen J,Zhou M,Mo J,Zheng T

    更新日期:2021-01-04 00:00:00

  • Local infiltration anesthesia versus epidural analgesia for postoperative pain control in total knee arthroplasty: a systematic review and meta-analysis.

    abstract:BACKGROUND:We performed a systematic review and meta-analysis of randomized controlled trials (RCTs) to evaluate the efficacy and safety of local infiltration anesthesia (LIA) versus epidural analgesia (EPA) for postoperative pain control in total knee arthroplasty (TKA). METHODS:In December 2017, a systematic compute...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/s13018-018-0770-9

    authors: Li C,Qu J,Pan S,Qu Y

    更新日期:2018-05-16 00:00:00

  • A biomechanical study of plate versus intramedullary devices for midshaft clavicle fixation.

    abstract:BACKGROUND:Non-operative management of midshaft clavicle fractures is standard; however, surgical management is increasing. The purpose of this study is to compare the biomechanical performance of plate versus intramedullary fixation in cyclic bending for matched pairs of cadaveric clavicles. We hypothesized that the b...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/1749-799X-3-28

    authors: Golish SR,Oliviero JA,Francke EI,Miller MD

    更新日期:2008-07-16 00:00:00

  • Tuberculosis of symphysis pubis in a 17 year old male: a rare case presentation and review of literature.

    abstract:: Tuberculosis of symphysis pubis is a rare condition with hardly any report of such cases in the last decade. It is necessary to distinguish the entity from more common ones like Osteitis pubis and Osteomyelitis of pubis symphysis by urgent means in order to start the treatment early and thereby minimize morbidity and...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/1749-799X-5-63

    authors: Bali K,Kumar V,Patel S,Mootha AK

    更新日期:2010-08-27 00:00:00

  • The calcar screw in angular stable plate fixation of proximal humeral fractures--a case study.

    abstract:BACKGROUND:With new minimally-invasive approaches for angular stable plate fixation of proximal humeral fractures, the need for the placement of oblique inferomedial screws ('calcar screw') has increasingly been discussed. The purpose of this study was to investigate the influence of calcar screws on secondary loss of ...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/1749-799X-6-50

    authors: Osterhoff G,Ossendorf C,Wanner GA,Simmen HP,Werner CM

    更新日期:2011-09-24 00:00:00

  • Outcomes of internal fixation versus hemiarthroplasty for elderly patients with an undisplaced femoral neck fracture: a systematic review and meta-analysis.

    abstract:BACKGROUND:Although internal fixation has been the main treatment option for elderly patients with an undisplaced femoral neck fracture, it is associated with a high reoperation rate. Some surgeons have discussed the use of hemiarthroplasty, but there is limited literature comparing these two treatment modalities. In t...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章,meta分析

    doi:10.1186/s13018-019-1377-5

    authors: Ma HH,Chou TA,Tsai SW,Chen CF,Wu PK,Chen WM

    更新日期:2019-10-11 00:00:00

  • A comparison of two headless compression screws for operative treatment of scaphoid fractures.

    abstract:PURPOSE:The purpose of this study was to compare the interfragmentary compression force across a simulated scaphoid fracture by two commonly used compression screw systems; the Acutrak 2 Standard and the 3.0 mm Synthes headless compression screw. METHODS:Sixteen (8 pairs; 6 female, 2 male) cadaver scaphoids were rando...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/1749-799X-6-27

    authors: Grewal R,Assini J,Sauder D,Ferreira L,Johnson J,Faber K

    更新日期:2011-06-07 00:00:00

  • Influence of hooks and a lag screw on internal fixation plates for lateral malleolar fracture: a biomechanical and ergonomic study.

    abstract:BACKGROUND:For internal fixation of AO classification Type B lateral malleolar fracture, insertion of lag screws into the fracture plane and fixation with a one-third tubular plate as a neutralization plate are the standard treatment procedures. The one-third tubular plate is processed to a hook shape and hung on the d...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-017-0537-8

    authors: Sakai R,Uchino M,Yoneo T,Ohtaki Y,Minehara H,Matsuura T,Gomi T,Ujihira M

    更新日期:2017-02-23 00:00:00

  • Achilles tenodesis for calcaneal insufficiency avulsion fractures associated with diabetes mellitus.

    abstract:BACKGROUND:Calcaneal insufficiency avulsion (CIA) fractures often present with neuropathic etiology, such as Charcot neuroarthropathy (CN). Under the same surgical procedures, the outcomes of CIA fractures are less desirable, compared to the outcomes of the traumatic calcaneal avulsion fractures. Here, the study sugges...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-017-0695-8

    authors: Choi Y,Kwon YW,Sim YS,Kim T,Song D,Lee S

    更新日期:2017-12-13 00:00:00

  • Three-column osteotomy surgery versus standard surgical management for the correction of adult spinal deformity: a cohort study.

    abstract:BACKGROUND:The aim of this study was to analyze and compare the surgical data, clinical outcomes, and complications between three-column osteotomy (3-COS) and standard surgical management (SSM) for the treatment of adult spine deformity (ASD). METHODS:A total of 112 patients who underwent consecutive 3-COS (n = 48) an...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-015-0154-3

    authors: Ji X,Chen H,Zhang Y,Zhang L,Zhang W,Berven S,Tang P

    更新日期:2015-02-03 00:00:00

  • Alendronate (ALN) combined with osteoprotegerin (OPG) significantly improves mechanical properties of long bone than the single use of ALN or OPG in the ovariectomized rats.

    abstract:BACKGROUND:Alendronate (ALN) is the most common form of bisphosphonates used for the treatment of osteoporosis. Osteoprotegerin (OPG) has also been shown to reduce osteoporotic changes in both humans and experimental animals after systemic administration. The aim of this current study was to test if the anti-resorption...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/1749-799X-6-34

    authors: Wang Y,Huang P,Tang PF,Chan KM,Li G

    更新日期:2011-07-13 00:00:00

  • In vivo dynamic motion characteristics of the lower lumbar spine: L4-5 lumbar degenerative disc diseases undergoing unilateral or bilateral pedicle screw fixation combined with TLIF.

    abstract:OBJECTIVE:To evaluate the short-term in vivo dynamic motion characteristics of the lower lumbar spine (L3-S1) after unilateral pedicle screw fixation (UPSF) or bilateral pedicle screw fixation (BPSF) combined with TLIF for treatment of L4-5 lumbar degenerative disc diseases (DDD). METHODS:Twenty-eight patients were re...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-019-1198-6

    authors: Nie T,Chen DJ,Tang B,Song Q,Liu X,Zhang B,Dai M,Li G,Wan Z

    更新日期:2019-06-07 00:00:00

  • Do refinements to original designs improve outcome of total knee replacement? A retrospective cohort study.

    abstract:BACKGROUND:Long-term results of the 'classic' low contact stress (LCS) total knee replacement (TKR) have been satisfactory; nonetheless, design changes have been made which resulted in the 'complete' LCS TKR. The aim of this study is to compare the 5-year incidence of revision and midterm clinical performance before an...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/1749-799X-9-7

    authors: Piepers MJ,van Hove RP,van den Bekerom MP,Nolte PA

    更新日期:2014-02-06 00:00:00

  • Mini-midvastus versus medial parapatellar approach in total knee arthroplasty: difference in patient-reported outcomes measured with the Forgotten Joint Score.

    abstract:BACKGROUND:Low knee awareness after minimally invasive total knee arthroplasty (TKA) has become the ultimate target of a natural-feeling knee that meets patient expectations. The objective of this research was to compare the clinical outcomes of TKA via the mini-midvastus (MMV) approach or the medial parapatellar (MPP)...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-020-01869-2

    authors: Lin W,Niu J,Dai Y,Yang G,Li M,Wang F

    更新日期:2020-08-17 00:00:00

  • Impingement-free hip range of motion after osteochondroplasty and relative neck lengthening in adults with healed Perthes disease.

    abstract:OBJECTIVE:Our main objective is to assess the efficiency of the osteochondroplasty with relative neck lengthening in adults with healed Perthes clinically (through assessment of impingement-free hip ROM, functional scores) and radiographically. PATIENTS AND METHODS:This was a prospective case series study included 30 ...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-020-01899-w

    authors: Elmarghany M,Abd El-Ghaffar TM,Elgeushy A,Hasanin Y,Elzahed E,Abulsoud MI,Moawad M

    更新日期:2020-08-26 00:00:00

  • A prospective randomised, controlled clinical trial comparing medial and lateral entry pinning with lateral entry pinning for percutaneous fixation of displaced extension type supracondylar fractures of the humerus in children.

    abstract:OBJECTIVE:To compare the efficacy of medial and lateral entry pinning with lateral entry pinning for percutaneous fixation of displaced (Gartland type II and type III) extension type supracondylar fractures of the humerus in children. METHODS:The study was a single center, prospective, randomized controlled clinical t...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1749-799X-7-6

    authors: Maity A,Saha D,Roy DS

    更新日期:2012-02-15 00:00:00

  • Comparison of compressive forces caused by various cannulated cancellous screws used in arthroscopic ankle arthrodesis.

    abstract:BACKGROUND:When performing arthroscopic ankle arthrodesis for end-stage ankle arthritis, internal fixation is performed using bone screws after appropriate preparation. However, optimal characteristics of bone screws have not been examined in terms of pressure force. Objective comparisons of bone-screw performance may ...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-016-0503-x

    authors: Kamijo S,Kumai T,Tanaka S,Mano T,Tanaka Y

    更新日期:2017-01-17 00:00:00

  • Synovial bone sialoprotein indicates aseptic failure in total joint arthroplasty.

    abstract:BACKGROUND:Until today, a reliable diagnostic discrimination between periprosthetic joint infections (PJI) and aseptic failure (AF) after total joint arthroplasty (TJA) remains challenging. Nearly all recent research focused on synovial markers to be elevated in PJI rather than in AF patients. In this study, synovial b...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-020-01718-2

    authors: Busch A,Jäger M,Dittrich F,Wegner A,Landgraeber S,Haversath M

    更新日期:2020-05-27 00:00:00

  • Medium-term results following arthroscopic reduction in walking-age children with developmental hip dysplasia after failed closed reduction.

    abstract:BACKGROUND:Arthroscopic reduction has become increasingly popular as an alternative to open reduction for the treatment of developmental dysplasia of the hip (DDH). However, patient outcomes beyond one and a half years after surgery remain unclear. The purpose of this study is to report the medium-term outcomes of walk...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-017-0635-7

    authors: Zhao L,Yan H,Yang C,Cai D,Wang Y

    更新日期:2017-09-21 00:00:00

  • Chemokine analysis as a novel diagnostic modality in the early prediction of the outcome of non-union therapy: a matched pair analysis.

    abstract:BACKGROUND:Despite the regenerative capability of skeletal tissue fracture, non-union is common. Treatment of non-unions remains challenging, and early determination of the outcome is impossible. Chemokines play an important role in promoting the formation of new bone and remodeling existing bone. Despite their importa...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-018-0961-4

    authors: Haubruck P,Solte A,Heller R,Daniel V,Tanner M,Moghaddam A,Schmidmaier G,Fischer C

    更新日期:2018-10-10 00:00:00

  • Analgesic effect of single-shot ropivacaine at different layers of the surgical site in primary total hip arthroplasty: a randomised, controlled, observer-blinded study.

    abstract:OBJECTIVES:The aim of this study was to evaluate the efficacy of local infiltration anaesthesia (LIA) during primary total hip arthroplasty (THA) via a posterolateral approach under general anaesthesia and to compare the efficacy of LIA in all layers with LIA in the deep and superficial fascia. PATIENTS AND METHODS:On...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-020-02182-8

    authors: Xiao Q,Xu B,Wang H,Luo Z,Yuan M,Zhou Z,Pei F

    更新日期:2021-01-22 00:00:00

  • Design optimization of high tibial osteotomy plates using finite element analysis for improved biomechanical effect.

    abstract:BACKGROUND:High tibial osteotomy (HTO) is a common treatment for moderate osteoarthritis of the medial compartment in the knee joint by the translation of the force center toward the lateral compartment. However, the stability of a short plate such as Puddu used in this procedure was not as effective as other long plat...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-019-1269-8

    authors: Koh YG,Lee JA,Lee HY,Chun HJ,Kim HJ,Kang KT

    更新日期:2019-07-16 00:00:00

  • Risk of septic knee following retrograde intramedullary nailing of open and closed femur fractures.

    abstract:BACKGROUND:One potential complication of retrograde femoral nailing in the treatment of femur fractures is the risk of septic knee. This risk theoretically increases in open fractures as a contaminated fracture site has the potential to seed the instrumentation being passed in and out of the sterile intraarticular star...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/1749-799X-7-7

    authors: Halvorson JJ,Barnett M,Jackson B,Birkedal JP

    更新日期:2012-02-17 00:00:00

  • Is it difficult to obtain inter-observer agreement in the measurement of the beta angle in ultrasound evaluation of the paediatric hip?

    abstract:INTRODUCTION:The aim of this study was to determine the differences and consistencies in the morphological and angular interpretations of standard USG images. Therefore, it was aimed to show the correlations of orthopaedic doctors with different periods of experience in hip ultrasound measurements taken with the Graf m...

    journal_title:Journal of orthopaedic surgery and research

    pub_type: 杂志文章

    doi:10.1186/s13018-019-1263-1

    authors: Karakus O,Karaman O,Sari AS,Orak MM,Muratli HH

    更新日期:2019-07-17 00:00:00