Functional outcomes and rates of return to sport activities in a non-athlete population after the open Brostrom–Gould repair: a seven-year follow-up

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发表日期：

2024年3月12日

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Danilo Ryuko Cândido Nishikawa,
Guilherme Honda Saito,
Alberto Abussamra Moreira Mendes,
Alberto Marangon,
Carlos Henrique Tardini,
Adilson Sanches de Oliveira Junior,
Fernando Aires Duarte,
Marcelo Pires Prado

摘要

Introduction

After an ankle sprain, up to 20% of patients may develop chronic lateral ankle instability (CLAI) requiring surgical treatment. The objective of this study was to investigate the functional outcomes and rates of return to sport activities in a cohort of non-athlete patients with chronic lateral ankle instability (CLAI) who underwent the opened Brostrom–Gould technique (BGT).

Materials and Methods

Seventy-nine patients (seventy-nine feet) from three different centers undergoing BGT were reviewed. For clinical and functional analysis, the AOFAS ankle–hindfoot scale was applied and rates of return to sport activities were assessed. Correlation of Δ-AOFAS and rates of return to sport activities with all variables analyzed was performed.

Results

Mean AOFAS score improved from 64.6 to 97.2 (p < 0.001). Sixty-one (77.2%) returned to preinjury activities and 18 (22.8%) changed to a lower-level modality. Symptoms of instability were related to Δ-AOFAS (p = 0.020). Change in the sport activity was related to pain and symptoms of instability (p = 0.41 and p < 0.001).

Conclusion

Recreational athlete patients who underwent the BGT demonstrated excellent functional outcomes after a mean follow-up of 7 years. Residual pain and symptoms of instability after surgery were the main complaints associated with limitations in physical activities.