Evidence map›Paper›PMID 41284067›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Gait study of surgical treatment and conservative treatment of acute ankle sprain: a single-center cohort study.

Gui Xuan You, Ming Hui Li, Lei Huang, Xin Zhou, Lei Zhang

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Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Gui Xuan YouYibin Integrated Traditional Chinese and Western Medicine Hospital, Yibin, China.
Ming Hui LiSchool of Physical Education, Southwest Medical University, Luzhou, China.
Lei HuangSchool of Physical Education, Southwest Medical University, Luzhou, China.
Xin ZhouDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, China.
Lei ZhangDepartment of Orthopedics, The Affiliated Traditional Chinese Medicine Hospital, Southwest Medical University, Luzhou, China. zhanglei0722@swmu.edu.cn.

Funding

Health Research Project of Sichuan Province (Popularization Application Project) Sichuan Health Research 2025-2001Integrated traditional Chinese and Western Medicine Special Project of Southwest Medical University (Optimizing Basic Disciplines Plan) 2023ZYYJ03Scientific Research on Foot and Ankle Diseases of China Association of Chinese Medicine (General Project, Category B) CACM-2025-GSKY02-B12Yibin Municipal Science and Technology Plan Project of Yibin Municipal Administration of Traditional Chinese Medicine in 2024 24ZYY0010Yibin Science and Technology Plan Project 2021ZYY026
6 · The paper itself

Abstract

objectivesAlthough there are different ways, the choice of treatment for grade-I-II anterior talofibular ligament (ATFL) injuries caused by acute ankle sprain is still controversial. The primary purpose of our study was to compare the efficacies of modified Broström-Gould surgery and conservative treatment in grade-I-II ATFL injuries caused by acute ankle sprain. The secondary goal was to assess the plantar pressure characteristics of ankle sprain.

methodsBetween Sep 2022 and December 2023, 63 patients diagnosed with acute ankle sprain (ATFL grade I-II injuries) were prospectively included in the arthroscopic modified Broström-Gould surgery group (n = 33) and conservative treatment group (n = 30). The main outcomes were the ankle functional rating scale, plantar pressure and gait parameters at preoperative, and 1, 3, 6, 12, 24months postoperative. One-way repeated measures analysis of variance ( ANOVA ) and Mann-Whitney U test were used to analyze the differences at different time points after treatment.

resultsThere were significant differences in gait parameters between the surgical and conservative groups at one and three months post-treatment. Additionally, the American Orthopaedic Foot and Ankle Society (AOFAS) score, Maryland Foot Score, and Visual Analogue Scale (VAS) scores were significantly different between the surgical and conservative groups after 24 months of treatment (P < 0.001). Furthermore, at 24 months post-treatment, there were significant differences between the injured and normal groups in terms of foot contact area, foot load ratio, single and double support phases, and center of gravity shift (P < 0.001).

conclusionSurgical and conservative treatments may not fully restore ankle stability and gait in patients, yet the modified Broström-Gould procedure holds the potential to restore ankle function three months sooner.

Indexed as

Ankle InjuriesConservative TreatmentGaitLateral Ligament, AnkleAdultArthroscopyCohort StudiesFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeYoung AdultAnkle sprainAnterior talofibular ligamentGait analysisPlantar pressure

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.