ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Absence of ATFL remnant does not affect the clinical outcomes of the modified broström operation for chronic ankle instability.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines.British medical bulletin · 2025Guideline
- Enhancing Post-Surgical Rehabilitation Outcomes in Patients with Chronic Ankle Instability: Impact of Subtalar Joint Axis Balance Exercises Following Arthroscopic Modified Broström Operation.Medicina (Kaunas, Lithuania) · 2024Trial
- All-Inside Arthroscopic Lateral Capsular Shift for Chronic Lateral Ankle Instability With Poor Ligament Remnants: A Retrospective Comparative Study With the Arthroscopic Modified Bröstrom Procedure.Orthopaedic journal of sports medicine · 2026Article
- Risk factors and clinical significance of functional outcomes after microfracture-based surgical treatment of osteochondral lesion of the talus.Journal of orthopaedic surgery and research · 2026Article
- Comparative effectiveness of combined ATFL and CFL repair versus ATFL-only repair for severe chronic lateral ankle instability.Journal of experimental orthopaedics · 2025Article
- Risk factors for the recurrence of instability after operative treatment of chronic lateral ankle instability: A systematic review.Journal of experimental orthopaedics · 2025Review
- Simplified arthroscopic anterior talofibular ligament repair with inferior extensor retinaculum reinforcement: technical notes and preliminary results.Journal of orthopaedic surgery and research · 2024Article
- Anatomical study of the bone morphology of the anterior talofibular ligament attachment.Anatomy & cell biology · 2023Article
- Ankle Sprains in Athletes: Current Epidemiological, Clinical and Imaging Trends.Open access journal of sports medicine · 2023Review
- Percutaneous Inferior Extensor Retinaculum Augmentation Technique for Chronic Ankle Instability.Orthopaedic surgery · 2022Article
- Impact of Patient Resilience on Outcomes of Open Brostrom-Gould Lateral Ligament Repair.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2021Article
- The signal intensity of preoperative magnetic resonance imaging has predictive value for determining the arthroscopic reparability of the anterior talofibular ligament.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Open Brostrom for Lateral Ligament Stabilization.Current reviews in musculoskeletal medicine · 2020Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe modified Broström operation for chronic ankle instability has demonstrated good clinical results. Absence of ligamentous tissue is a risk factor for recurrence of ankle instability after surgery. This study evaluated the effect of quality of ligament tissue (anterior talofibular ligament, ATFL) on prognosis, in a cohort of patients with chronic ankle instability after the modified Broström operation.
methodsThis was a retrospective case series. Overall, 60 patients underwent the modified Broström operation for chronic ankle instability (mean follow-up, 30.1 [range, 24-47] months). Presence of ATFL remnant was assessed on ultrasound, magnetic resonance imaging, and arthroscopy in all patients. Foot and ankle outcome score (FAOS) was used to evaluate functional outcomes. Clinical outcomes were compared by the condition of the ligament remnant. Association with other risk factors was evaluated using multiple linear regression analysis.
resultsATFL was visible in 51/60 cases on ultrasound. Thirty, 22, and eight patients had thin or absent; normal thickness; and thick ATFL on magnetic resonance imaging, respectively. ATFL was visible in 15 patients on arthroscopy and nonvisible or not clear in 45. No significant differences occurred in FAOS with the presence of ATFL remnant on ultrasound, arthroscopy, and the grade of ATFL thickness on magnetic resonance imaging. No correlation was found between FAOS and the thickness of ATFL.
conclusionThe results suggest that the modified Broström operation for patients with chronic ankle instability was good, regardless of the presence or absence of ATFL remnant. LEVEL OF EVIDENCE: III, Retrospective cohort study.
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