title: The "All-Inside" Arthroscopic Broström Procedure With Additional Suture Anchor Augmentation: A Prospective Study of 45 Consecutive Patients.
abstract: Lateral ankle sprains are a common injury that typically respond well to nonoperative therapy. When nonoperative therapy fails and patients develop chronic lateral ankle instability, they become candidates for surgical repair. The present study examined 45 consecutive patients (45 ankles) with chronic lateral ankle instability who underwent arthroscopic Broström repair using a double-row suture anchor construct. The 45 patients (27 females and 18 males) were followed up for a mean of 14 (range 12 to 20) months. The mean time to weightbearing with crutches was 3.3 (range 2 to 4) days, and full weightbearing was initiated at a mean of 14.4 (range 12 to 16) days. All patients participated in structured physical therapy, which was started at 21.6 (range 18 to 23) days. Patients were transitioned to regular shoe gear with a stirrup-style ankle brace at 28.7 (range 26 to 31) days. The American Orthopaedic Foot and Ankle Society scale scores improved from an average preoperative score of 48.7 (range 45 to 55) to 95.4 (range 90 to 100) postoperatively. The average visual analog scale decreased from 8 (range 6 to 10) preoperatively to 0.6 (range 0 to 5) postoperatively at the last follow-up visit. The Karlsson-Peterson score postoperatively was 87 of 100. We have shown that patients with this new arthroscopic Broström technique modified with a proximal suture anchor can begin weightbearing earlier than previously reported, without adverse effects in terms of pain, functional outcomes scores, and clinical outcomes.
authors.affiliation: Fellowship Director, Attending Physician, Florida Orthopedic Foot and Ankle Center, Sarasota, FL. Electronic address: drcottom@flofac.com.
authors.forename: James M
authors.initials: JM
authors.lastname: Cottom
authors.affiliation: Fellow, Florida Orthopedic Foot and Ankle Center, Sarasota, FL.
authors.forename: Joseph S
authors.initials: JS
authors.lastname: Baker
authors.affiliation: Fellow, Florida Orthopedic Foot and Ankle Center, Sarasota, FL.
authors.forename: Phillip E
authors.initials: PE
authors.lastname: Richardson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000843:Ankle Joint; D001182:Arthroscopy; D005260:Female; D005360:Fibula / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D017844:Lateral Ligament, Ankle; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D053441:Suture Anchors; D016896:Treatment Outcome; D016474:Weight-Bearing; D055815:Young Adult
keywords: ankle; arthroscopy; instability; ligament; sprain