title: Early functional outcome of a modified Brostrom-Gould surgery using bioabsorbable suture anchor for chronic lateral ankle instability.
abstract: BACKGROUND
  The purpose of this study was to evaluate the early functional outcome following the use of a bioabsorbable suture anchor to simplify the repair of injured lateral ankle structures as a variation of an established technique known as the Brostrom-Gould procedure.
  
  
  METHODS
  This was a prospective study of 30 ankles with chronic lateral instability that underwent a modified Brostrom-Gould surgery using a bioabsorbable suture anchor, performed by a single surgeon. A total of 29 patients, aged 15 to 52 (mean is 33) years, were enrolled in the study. The follow-up period ranged from three to six (mean is four) months. The function of the patients' ankles was scored using the Kaikkonen Functional Scale, both preoperatively and postoperatively.
  
  
  RESULTS
  Preoperatively, all ankles had poor scores (less than 50). Postoperatively, 28 ankles showed excellent scores and two ankles showed good scores, while none obtained a fair or poor score. The difference in the overall means between the postoperative and preoperative scores was statistically significant (p-value is 0.001). Post surgery, 24 ankles had no symptoms, while six had only mild ankle tightness with extreme inversion movement at the last review. All patients were able to walk normally, and 29 ankles regained their normal running capability. There was marked improvement in the ability to descend stairs, to rise on heels and toes, to perform a single-limb stance, and in range of motions of the ankle dorsiflexion as well as in ankle laxity.
  
  
  CONCLUSIONS
  The modified Brostrom-Gould procedure using a bioabsorbable suture anchor allowed for early ankle rehabilitation and offered a reproducible and excellent early functional outcome with minimal complications.
authors.affiliation: Arthroscopy and Sports Unit, Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia. drshahahmad@hotmail.com
authors.forename: A
authors.initials: A
authors.lastname: Shahrulazua
authors.forename: M S
authors.initials: MS
authors.lastname: Ariff Sukimin
authors.forename: T M
authors.initials: TM
authors.lastname: Tengku Muzaffar
authors.forename: M I
authors.initials: MI
authors.lastname: Yusof
mesh_terms: D020341:Absorbable Implants; D000293:Adolescent; D000328:Adult; D000842:Ankle / Q000601:surgery; D016512:Ankle Injuries / Q000534:rehabilitation / Q000601:surgery*; D000843:Ankle Joint / Q000601:surgery*; D002908:Chronic Disease; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D007593:Joint Instability / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016059:Range of Motion, Articular; D053441:Suture Anchors; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult