Evidence map›Paper›PMID 41958684›Full record

ArticleOrthopaedic journal of sports medicine2026

Augmented Broström and Improved Functional Outcomes as Measured by PROMIS Scores Compared With Broström Without Augmentation.

Steven M Hadley, Rachel Bergman, Sarah J Westvold, Tanya Kukreja, Carolyn J Hu, Ryan Filler, Muhammad Y Mutawakkil, Milap Patel, Anish R Kadakia

Abstract read
In one paragraph

Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Steven M HadleyDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0003-2694-7334
Rachel BergmanDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-6702-8871
Sarah J WestvoldYale School of Medicine, New Haven, Connecticut, USA.ORCID https://orcid.org/0009-0004-2060-2137
Tanya KukrejaDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0009-0005-4674-3146
Carolyn J HuDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-6218-4034
Ryan FillerDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0009-0007-6111-8810
Muhammad Y MutawakkilDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0002-8622-6793
Milap PatelDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Anish R KadakiaDepartment of Orthopaedic Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0003-1023-6407

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: No study has compared functional outcomes measured by validated Patient-Reported Outcomes Measurement Information System (PROMIS) measures of physical function (PF) and pain interference (PI) between augmented and nonaugmented Broström procedures. Purpose: To determine whether the augmented Broström procedure is associated with improved PROMIS scores compared with the nonaugmented procedure. Study Design: Cohort study; Level of evidence, 3. Methods: All patients who underwent lateral ankle ligament reconstruction at a single institution (2013-2024) were retrospectively reviewed. Revisions, allografts, nonanatomic reconstructions, flexor digitorum longus transfers, progressive collapsing foot deformities, concomitant hindfoot arthrodesis, associated ankle arthroplasties, concomitant fractures, and those without a minimum of 2 years of follow-up were excluded. A total of 97 eligible patients (97 ankles) completed postoperative surveys containing PROMIS and were included for final analysis. Augmentation was performed using the InternalBrace system (Arthrex). Bivariate comparisons of PROMIS were made using Results: Of 97 patients, 56 (58%) underwent augmented Broström procedures, and 41 (42%) underwent nonaugmented Broström procedures. In unadjusted comparisons, the augmented type had a higher mean PF (51.2 ± 8.5 vs 48.5 ± 9.4; Conclusion: Our study showed that the augmented Broström procedure was associated with significantly improved PROMIS scores compared with the nonaugmented Broström procedure to a degree that reaches the minimal clinically important difference for PROMIS. The augmented Broström procedure, therefore, may serve as an effective surgical option to maximize functional outcomes for patients suffering from chronic lateral ankle instability.

Indexed as

ankleinjuries/conditions related to specific sportsligaments

Identifiers

PMID41958684
PMCPMC13058218

What OpenQuestion holds

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Registered trials

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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.