Effectiveness of anterior talofibular ligament repair in treatment of lateral ankle stability_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHEN Shoubo ¹ ,  HUA Yinghui ²

1. Department of Orthopedics, the Second Affiliated Hospital of Fujian Medicle University, Quanzhou Fujian, 362000, P.R.China;
2. Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200000, P.R.China;

Corresponding?author：

HUA Yinghui, Email: hua023@hotmail.com

Keywords：

Ankle instability; ligament repair; tarsal sinus syndrome

DOI：

10.7507/1002-1892.201611022

Video：

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Objective To evaluate the effectiveness of anterior talofibular ligament repair in the treatment of lateral ankle stability and the effect of combined tarsal sinus syndrome on results. Methods Between December 2013 and October 2014, 47 cases of lateral ankle instability underwent anatomical repair of anterior talofibular ligament, and the clinical data were retrospectively analyzed. Of 47 cases, 32 had no tarsal sinus syndrome (group A); 15 had tarsal sinus syndrome (group B), arthroscopic debridement of tarsal sinus was performed at the same time. There was no significant difference in gender, age, disease duration, side, American Orthopaedic Foot and Ankle Society (AOFAS), Karlsson score, and Tegner movement function score between 2 groups (P>0.05). Results No early surgical complication of infection occurred, and primary healing of incision was obtained in 2 groups. The patients were followed up 20-31 months (mean, 26.0 months) in group A, and 20-31 months (mean, 24.7 months) in group B. Disappearance of ankle swelling, good joints movement, and recovery of normal walking were observed in all patients. At last follow-up, AOFAS score, Karlsson score, and Tegner movement function score were significantly improved when compared with preoperative ones in 2 groups (P<0.05), but no significant difference was found between 2 groups (P>0.05). No ankle instability recurrence was found during follow-up period. Conclusion The effectiveness of anatomical repair of anterior talofibular ligament in lateral ankle instability is satisfactory for patients with or without tarsal sinus syndrome.

Citation： CHEN Shoubo, HUA Yinghui. Effectiveness of anterior talofibular ligament repair in treatment of lateral ankle stability. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(4): 427-431. doi: 10.7507/1002-1892.201611022 Copy

1.	?Gribble PA, Terada M, Beard MQ, et al. Prediction of lateral ankle sprains in football players based on clinical tests and body mass index. Am J Sports Med, 2016, 44(2): 460-467.
2.	Hubbard TJ, Hertel J. Mechanical contributions to chronic ankle instability. Spots Med, 2006, 36(3): 263-277.
3.	Lui TH. Modified arthroscopic Brostr?m procedure. Foot Ankle Surg, 2015, 21(3): 216-219.
4.	Brown CA, Hurwit D, Behn A, et al. Biomechanical comparison of an all-soft suture anchor with a modified Brostr?m-Gould suture repair for lateral ligament reconstruction. Am J sports Med, 2014, 42(2): 417-422.
5.	陳冬, 姚建華, 黃炎, 等. 改良Brostrom法聯合踝關節鏡治療踝關節扭傷致慢性踝關節不穩的研究. 臨床和實驗醫學雜志, 2015, 14(6): 497-499.
6.	楊渝勇, 曹國永, 鄧淼, 等. 改良的 Brostr?m 法聯合踝關節鏡治療訓練傷所致慢性踝關節不穩. 重慶醫學, 2014, 43(23): 3063-3065.
7.	Maffulli N, Del Buono A, Maffulli GD, et al. Isolated anterior talofibular ligament Brostr?m repair for chronic lateral ankle instability: 9 -year follow up. Am J Sports Med, 2013, 41(4): 858-864.
8.	Acevedo JI, Mangone P. Arthroscopic brostrom technique. Foot Ankle Int, 2015, 36(4): 465-473.
9.	Takao M, Matsui K, Stone JW, et al. Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc, 2016, 24(4): 1003-1006.
10.	Ahn JH, Lee SK, Kim KJ, et al. Subtalar arthroscopic procedures for the treatment of subtalar pathologic conditions: 115 consecutive cases. Orthopedics, 2009, 32(6): 891.
11.	Lee KB, Bai LB, Park JG, et al. Efficacy of MRI versus arthroscopy for evaluation of sinus tarsi syndrome. Foot Ankle Int, 2008, 29(9): 1111-1116.
12.	Pieters RS, Galvin J. The rare presentation of sinus tarsi syndrome secondary to metastasis in a patient with endometrial carcinoma. Radiol Case Rep, 2015, 6(2): 414.
13.	Ayd?ng?z ü, Melih Topcuo?lu O, G?rmez A, et al. Accessory anterolateral talar facet in populations with and without symptoms: prevalence and relevant associated ankle MRI findings. American Journal of Roentgenology, 2016, 207(4): 846-851.
14.	Kuwada GT. Long-term retrospective analysis of the treatment of sinus tarsi syndrome. J Foot Ankle Surg, 1994, 33(1): 28-29.
15.	桂鑒超, 王黎明, 蔣逸秋, 等. 跗骨竇綜合征的關節鏡下手術治療. 中華創傷雜志, 2010, 26(12): 1078-1081.
16.	宋衛東, 陳炳豪, 劉文宙, 等. 應用距下關節鏡診治跗骨竇綜合征. 中華關節外科雜志(電子版), 2014, 8(4): 415-418.
17.	Oloff LM, Schulhofer SD, Bocko AP. Subtalar joint arthroscopy for sinus tarsi syndrome: a review of 29 cases. J Foot Ankle Surg, 2001, 40(2): 152-157.
18.	Lee KB, Bai LB, Song EK, et al. Subtalar arthroscopy for sinus Tarsi syndrome: arthroscopic findings and clinical outcomes of 33 consecutive cases. Arthroscopy, 2008, 24(10): 1130-1134.

1. ?Gribble PA, Terada M, Beard MQ, et al. Prediction of lateral ankle sprains in football players based on clinical tests and body mass index. Am J Sports Med, 2016, 44(2): 460-467.
2. Hubbard TJ, Hertel J. Mechanical contributions to chronic ankle instability. Spots Med, 2006, 36(3): 263-277.
3. Lui TH. Modified arthroscopic Brostr?m procedure. Foot Ankle Surg, 2015, 21(3): 216-219.
4. Brown CA, Hurwit D, Behn A, et al. Biomechanical comparison of an all-soft suture anchor with a modified Brostr?m-Gould suture repair for lateral ligament reconstruction. Am J sports Med, 2014, 42(2): 417-422.
5. 陳冬, 姚建華, 黃炎, 等. 改良Brostrom法聯合踝關節鏡治療踝關節扭傷致慢性踝關節不穩的研究. 臨床和實驗醫學雜志, 2015, 14(6): 497-499.
6. 楊渝勇, 曹國永, 鄧淼, 等. 改良的 Brostr?m 法聯合踝關節鏡治療訓練傷所致慢性踝關節不穩. 重慶醫學, 2014, 43(23): 3063-3065.
7. Maffulli N, Del Buono A, Maffulli GD, et al. Isolated anterior talofibular ligament Brostr?m repair for chronic lateral ankle instability: 9 -year follow up. Am J Sports Med, 2013, 41(4): 858-864.
8. Acevedo JI, Mangone P. Arthroscopic brostrom technique. Foot Ankle Int, 2015, 36(4): 465-473.
9. Takao M, Matsui K, Stone JW, et al. Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc, 2016, 24(4): 1003-1006.
10. Ahn JH, Lee SK, Kim KJ, et al. Subtalar arthroscopic procedures for the treatment of subtalar pathologic conditions: 115 consecutive cases. Orthopedics, 2009, 32(6): 891.
11. Lee KB, Bai LB, Park JG, et al. Efficacy of MRI versus arthroscopy for evaluation of sinus tarsi syndrome. Foot Ankle Int, 2008, 29(9): 1111-1116.
12. Pieters RS, Galvin J. The rare presentation of sinus tarsi syndrome secondary to metastasis in a patient with endometrial carcinoma. Radiol Case Rep, 2015, 6(2): 414.
13. Ayd?ng?z ü, Melih Topcuo?lu O, G?rmez A, et al. Accessory anterolateral talar facet in populations with and without symptoms: prevalence and relevant associated ankle MRI findings. American Journal of Roentgenology, 2016, 207(4): 846-851.
14. Kuwada GT. Long-term retrospective analysis of the treatment of sinus tarsi syndrome. J Foot Ankle Surg, 1994, 33(1): 28-29.
15. 桂鑒超, 王黎明, 蔣逸秋, 等. 跗骨竇綜合征的關節鏡下手術治療. 中華創傷雜志, 2010, 26(12): 1078-1081.
16. 宋衛東, 陳炳豪, 劉文宙, 等. 應用距下關節鏡診治跗骨竇綜合征. 中華關節外科雜志(電子版), 2014, 8(4): 415-418.
17. Oloff LM, Schulhofer SD, Bocko AP. Subtalar joint arthroscopy for sinus tarsi syndrome: a review of 29 cases. J Foot Ankle Surg, 2001, 40(2): 152-157.
18. Lee KB, Bai LB, Song EK, et al. Subtalar arthroscopy for sinus Tarsi syndrome: arthroscopic findings and clinical outcomes of 33 consecutive cases. Arthroscopy, 2008, 24(10): 1130-1134.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of anterior talofibular ligament repair in treatment of lateral ankle stability

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