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Broström Procedure and Fibula Periosteal Turn Down Augmentation for the Ball-and-Socket Ankle Accompanying Lateral Ankle Instability: A Case Report

Broström 술식과 비골 골막 젖힘 보강술로 치료한 구상 발목관절에 동반된 족근관절 외측 불안정증: 증례 보고

  • Shin, Woojin (Department of Orthopedic Surgery, Gwangju Veterans Hospital) ;
  • Cho, Hong Man (Department of Orthopedic Surgery, Gwangju Veterans Hospital) ;
  • Park, Jiyeon (Department of Orthopedic Surgery, Gwangju Veterans Hospital)
  • Received : 2020.02.17
  • Accepted : 2020.04.01
  • Published : 2020.06.15

Abstract

We report on the case of a patient with chronic instability of the ball-and-socket ankle joint. The patient, a 21-year-old male, was diagnosed 10 years previously with chronic instability of the ball-and-socket ankle joint. He underwent Broström procedure and augmentation using a periosteal turn down from the fibula for this chronic instability despite having received conservative treatment since the diagnosis. After the procedure, the clinical symptoms of ankle instability were improved and the patient is being periodically followed-up. We report on this case of using a Broström procedure as a treatment option for patients with instability of the ball-and-socket ankle joint with normal range of foot and normal ankle joint alignment without damage in the joint and cartilage.

Keywords

References

  1. Pappas AM, Miller JT. Congenital ball-and-socket ankle joints and related lower-extremity malformations. J Bone Joint Surg Am. 1982;64:672-9. https://doi.org/10.2106/00004623-198264050-00004
  2. Stevens PM, Aoki S, Olson P. Ball-and-socket ankle. J Pediatr Orthop. 2006;26:427-31. doi: 10.1097/01.bpo.0000217713.80233.c5.
  3. Takakura Y, Tanaka Y, Kumai T, Sugimoto K. Development of the balland-socket ankle as assessed by radiography and arthrography. A long-term follow-up report. J Bone Joint Surg Br. 1999;81:1001-4. doi: 10.1302/0301-620x.81b6.9993.
  4. Channon GM, Brotherton BJ. The ball and socket ankle joint. J Bone Joint Surg Br. 1979;61:85-9. https://doi.org/10.1302/0301-620X.61B1.422641
  5. Ellington JK, Myerson MS. Surgical correction of the ball and socket ankle joint in the adult associated with a talonavicular tarsal coalition. Foot Ankle Int. 2013;34:1381-8. doi: 10.1177/1071100713488762.
  6. Brostrom L. Sprained ankles. VI. Surgical treatment of “chronic” ligament ruptures. Acta Chir Scand. 1966;132:551-65.
  7. Jung HG, Kim TH, Park JY, Bae EJ. Anatomic reconstruction of the anterior talofibular and calcaneofibular ligaments using a semitendinosus tendon allograft and interference screws. Knee Surg Sports Traumatol Arthrosc. 2012;20:1432-7. doi: 10.1007/s00167-011-1666-y.
  8. Hua Y, Chen S, Jin Y, Zhang B, Li Y, Li H. Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft. Int Orthop. 2012;36:2027-31. doi: 10.1007/s00264-012-1577-7.
  9. Kocadal O, Ozsoy A, Ozsoy H. Lateral ligament reconstruction for ball-and-socket ankle accompanying lateral ankle instability: a case report and literature review. J Foot Ankle Surg. 2017;56:1339-42. doi: 10.1053/j.jfas.2017.06.023.
  10. Karlsson J, Bergsten T, Lansinger O, Peterson L. Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg Am. 1988;70:581-8. https://doi.org/10.2106/00004623-198870040-00015