ArticleFoot & ankle orthopaedics2026
Patient-Reported Outcomes of Concomitant Deltoid and/or Syndesmotic Reconstruction With Broström for Global Chronic Ankle Instability: The Role of Deltoid Stability.
Article in Foot & ankle orthopaedics, 2026. 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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10 authors.
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Abstract
Background: Medial and syndesmotic instability are risk factors for failure to return to pre-injury activity following Broström. This investigation aims to understand the extent to which superficial deltoid reconstruction (DR) and/or syndesmotic reconstruction (SR) affect global ankle stability in patients with global chronic ankle instability (GCAI) as measured by the validated Cumberland Ankle Instability Tool (CAIT) and Patient-Reported Outcomes Measurement Information System (PROMIS). Methods: All 574 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 deformity, hindfoot arthrodesis, ankle arthroplasties, fractures, those without minimum 1-year follow-up, and those who did not complete preoperative CAIT were excluded. Forty-three of 71 patients with concurrent deltoid and/or syndesmotic injury completed postoperative PROMIS/CAIT. GCAI was determined via history, examination, imaging, and intraoperative findings. Primary outcome was postoperative change in CAIT. Results: For patients who underwent concomitant DR (13/43), the mean CAIT score improved by 16.0 ± 8.9 points ( Conclusion: Concomitant DR/SR in patients undergoing Broström may be associated with significant improvements in ankle stability from preoperative baseline. Those with DR and DR+SR had the largest improvements in CAIT, which may suggest the role of deltoid stability in GCAI. Therefore, addressing global stability should be considered in some GCAI patients. Level of Evidence: Level III, retrospective comparative study.
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