Ankle Sprains, Hypermobility Syndrome
Conditions
Brief summary
GJL is a risk factor for postoperative recurrent instability following an MBR for CLAI. BPR with suture tape augmentation and anatomic reconstruction may provide more strength and stability. However, BPR with suture tape augmentation may lead to rejection of the suture tape, while anatomic reconstruction may be associated with more trauma. In addition, the outcomes between the BPR with suture tape augmentation and anatomic reconstruction were unknown.
Detailed description
Generalized joint laxity (GJL) is a risk factor for postoperative recurrent instability following an open modified Broström repair (MBR) for chronic lateral ankle instability (CLAI). MBR with suture tape augmentation and anatomic reconstruction may provide more strength and stability. However, BPR with suture tape augmentation may lead to rejection of the suture tape, while anatomic reconstruction may be associated with more trauma. In addition, the outcomes between the BPR with suture tape augmentation and anatomic reconstruction were unknown.
Interventions
PROCEDUREModified Broström + Suture tape augmentation operation
Patients with CLAI and GJL will accept the Modified Broström + Suture tape augmentation operation
PROCEDUREAnatomic reconstruction operation
Anatomic reconstruction operation
PROCEDUREOpen Modified Broström procedure
Open Modified Broström-Gould surgery
Sponsors
Peking University Third Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of lateral ankle pain and instability Beighton score ≥4 Age with 18 to 60 years
Exclusion criteria
* Patients with an acute or subacute ankle injury (within 3 months) Injury of the deltoid ligament Alignment of lower extremity greater than 5 degrees Fractures of the lower extremity Stage III or IV osteoarthritis Patients who refused to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Karlsson-Peterson score | postoperative Karlsson score at 1 year | This score is a primary scale for lateral ankle instability, with a maximum value of 100 and minimum value of 0. Larger Karlsson-Peterson score represents better ankle functional outcomes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anterior displacement and talar tilt angle in stress radiography | postoperative radiographic measures at 2 years | The outcomes are common indicators for evaluation the lateral stability of ankle |
Other
| Measure | Time frame | Description |
|---|---|---|
| Rate of re-injury | the rate of re-injury at 2 years | After surgery, the rate of patients re-sprain |
Countries
China
Contacts
Primary ContactDong Jiang, MD
Backup ContactAnhong Wang, MD
Outcome results
None listed