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CC BY-NC-ND-license · Joints 2016; 04(02): 094-097
DOI: 10.11138/jts/2016.4.2.094
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Treatment of chronic lateral ankle instability using the Broström-Gould procedure in athletes: long-term results

Adriano Russo
1   Orthopaedic Institute of Florence (IFCA), Villa Ulivella e Glicini, Florence, Italy
,
Paolo Giacchè
1   Orthopaedic Institute of Florence (IFCA), Villa Ulivella e Glicini, Florence, Italy
,
Enrico Marcantoni
1   Orthopaedic Institute of Florence (IFCA), Villa Ulivella e Glicini, Florence, Italy
,
Annalisa Arrighi
2   University of Genoa, School of Medical and Pharmaceutical Sciences, Genoa, Italy
,
Luigi Molfetta
2   University of Genoa, School of Medical and Pharmaceutical Sciences, Genoa, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
15 September 2017 (online)

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Abstract

Purpose: this study was conducted to evaluate longterm results following treatment of chronic lateral ankle instability using the Broström-Gould technique in athletes.

Methods: eighteen athletes involved in competitive sports at different levels, who suffered from chronic lateral ankle instability, underwent Broström-Gould ligamentoplasty between 2000 and 2005. The results of the surgery were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) scale.

Results: the results at 10-15 years of follow-up were excellent in 94.5% of these cases and good in the remaining 5.5%. An increase of 31.2 points in the AOFAS scale score was recorded at follow-up (with the score rising to 98.8, from 67.6 preoperatively). All the athletes returned to their respective sports at the same level as prior to the surgery. Imaging at longterm follow-up showed no signs of arthritic degeneration.

Conclusions: the results of this study show that the Broström-Gould technique is an effective procedure for the treatment of chronic lateral ankle instability in the athlete, giving excellent long-term results.

Level of evidence: therapeutic case series, level IV.

Key Words

ankle - instability - reconstruction - ligament - Broström-Gould