ArticleFoot & ankle orthopaedics2020
Effect of Periosteal Flap Augmentation on Outcomes of Modified Broström-Gould Procedure for Chronic Lateral Ankle Instability.
Article in Foot & ankle orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 5 citations in OpenAlex.
- Feasibility of acromial periosteal flap technique for enhanced reconstruction of acromioclavicular joint dislocations: a cadaveric study.Journal of orthopaedic surgery and research · 2026Article
- Factors Associated with the Clinical Outcomes of Ankle Instability Surgery.The archives of bone and joint surgery · 2025Article
- The precision of technical aspects in the minimally invasive Broström-Gould procedure: a cadaveric anatomical study.Journal of orthopaedic surgery and research · 2024Article
- Patient-Reported Outcomes Following Open Broström-Gould Procedure: Minimum 5-Year Follow-Up.Foot & ankle orthopaedics · 2024Article
- Postural stability after operative reconstruction of the AFTL in chronic ankle instability comparing three different surgical techniques.Open medicine (Warsaw, Poland) · 2024Article
- Chronic lateral ankle ligament instability - Current evidence and recent management advances.Journal of clinical orthopaedics and trauma · 2024Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic lateral ankle instability is relatively common after ankle sprains. The modified Broström-Gould procedure (MBG) is the gold standard operative treatment but has a known failure rate of up to 10%, or even more in high-risk groups. Periosteal flap augmentation (PFA) has been proposed to strengthen the repair. This study aimed to compare the outcomes of MBG with and without PFA.
methodsA matched-pair study was performed based on prospectively collected registry data for all patients undergoing lateral ankle ligament reconstruction in a tertiary institution. Patients who underwent the MBG with PFA were matched in a 1:1 ratio with patients undergoing MBG alone, based on age, gender, and body mass index (BMI). Patients with generalized ligamentous laxity or obesity were excluded. Clinical outcome scores were compared preoperatively and 2 years postoperatively. A total of 48 patients were included in the study (24 in each group). The mean age was 24.1 years, mean BMI was 23.1, and all patients were male. The baseline demographics and clinical scores in both groups were similar.
resultsAt 2 years postoperatively, both groups demonstrated significantly improved AOFAS Ankle-Hindfoot scores (
conclusionRoutine PFA did not improve the outcomes of MBG for chronic lateral ankle instability in the absence of risk factors for failure. Further studies are warranted to determine if there is a long-term benefit for augmentation in this population. LEVEL OF EVIDENCE: Level III, retrospective comparative study.
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