Document Detail


Comparison between suture anchor and transosseous suture for the modified-Broström procedure.
MedLine Citation:
PMID:  22735317     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: This prospective, randomized study was conducted to compare clinical outcomes of the modified Broström procedure using suture anchor or transosseous suture technique for chronic ankle instability.
METHODS: Forty patients were followed for more than 2 years after modified Broström procedure. Twenty procedures using a suture anchor and 20 procedures using a transosseous suture were performed by one surgeon. The clinical evaluation consisted of the Karlsson scale and the Sefton grading system. Talar tilt and anterior talar translation were measured on anterior and varus stress radiographs.
RESULTS: The Karlsson scale had improved significantly to 90.8 points in the suture anchor group, and to 89.2 points in the transosseous suture group. According to Sefton grading system, 18 patients (90%) in suture anchor group and 17 patients (85%) in transosseous suture group achieved satisfactory results. The talar tilt angle and anterior talar translation improved significantly to 5.9 degrees and 4.2 mm in suture anchor group, and to 5.4 degrees and 4.1 mm in transosseous suture group, respectively.
CONCLUSION: No significant differences existed in clinical and functional outcomes between the two techniques for ligament reattachment. Both modified Broström procedures using the suture anchor and transosseous suture seem to be effective treatment methods for chronic lateral ankle instability.
Authors:
Byung-Ki Cho; Yong-Min Kim; Dong-Soo Kim; Eui-Sung Choi; Hyun-Chul Shon; Kyoung-Jin Park
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Foot & ankle international. / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society     Volume:  33     ISSN:  1071-1007     ISO Abbreviation:  Foot Ankle Int     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-06-27     Completed Date:  2012-08-14     Revised Date:  2013-02-25    
Medline Journal Info:
Nlm Unique ID:  9433869     Medline TA:  Foot Ankle Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  462-8     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Chungbuk National University Hospital, 62 Gaesin-Dong, Cheongju, ChungBuk 360-711, Korea. titanick25@yahoo.co.kr
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Ankle Joint / physiopathology,  radiography,  surgery*
Chronic Disease
Female
Humans
Joint Capsule / surgery
Joint Instability / physiopathology,  surgery*
Ligaments, Articular / surgery
Male
Postoperative Complications
Prospective Studies
Suture Anchors*
Suture Techniques*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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