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Chronic Lateral Ankle Instability: Efficacy of Combination of Ankle Arthroscopic Exploration and Modified Brostrom Operation  

Lee, Kyung-Tai (Department of Orthopedic Surgery of Foot and Ankle, Gangnam Eulji Hospital, Eulji University School of Medicine)
Kim, Jin-Su (Department of Orthopedic Surgery of Foot and Ankle, Gangnam Eulji Hospital, Eulji University School of Medicine)
Young, Ki-Won (Department of Orthopedic Surgery of Foot and Ankle, Gangnam Eulji Hospital, Eulji University School of Medicine)
Park, Young-Uk (Department of Orthopedic Surgery of Foot and Ankle, Gangnam Eulji Hospital, Eulji University School of Medicine)
Kim, Jun-Beom (Department of Orthopedic Surgery of Foot and Ankle, Gangnam Eulji Hospital, Eulji University School of Medicine)
Kim, Tae-Won (Department of Orthopedic Surgery of Foot and Ankle, Gangnam Eulji Hospital, Eulji University School of Medicine)
Jo, Jae-Ho (Department of Orthopedic Surgery, Military Capital Hospital)
Publication Information
Journal of Korean Foot and Ankle Society / v.14, no.2, 2010 , pp. 123-129 More about this Journal
Abstract
Purpose: To evaluate the efficacy of the arthroscopic exploration combined with modified Brostrom operation (MBO) for the treatment of chronic lateral ankle instability (CAI). Materials and Methods: Sixty patients who diagnosed a CAI were performed MBO. We divided to 2 groups, whether simultaneously inspected by arthroscopy (group B) or not (group A). The both group's results were compared according to American Orthopedic Foot and Ankle Society Ankle-hindfoot score (AOFAS), functional ankle score and visual analog scale (VAS) at preoperative and final follow-up period. Results: There were no significant differences of AOFAS, functional ankle score and VAS between both groups at final follow-up. However, in group A, 2 cases associated with medial ankle instability and syndesmotic injuries were did not diagnosed preoperatively, showed poor prognosis. In group B, one case had a permanent peroneal nerve symptom. The match rate of intra-articular lesions between preoperative diagnosis and postoperative arthroscopic diagnosis was 30% in group B. Conclusion: Combination of arthroscopic exploration and MBO is effective strategy for intra-operatively discrimination of intra-articular associated lesions for CAI.
Keywords
Ankle joint; Chronic lateral ankle instability; Modified Brostrom operation; Arthroscopy;
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Times Cited By KSCI : 2  (Citation Analysis)
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